Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.53 / $1,406.00 / $4,898.00	Facility		$157.53	$1,406.00	$4,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $51.81 / $94.36	Professional		$41.99	$51.81	$94.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $56.76 / $59.63	Professional		$46.98	$56.76	$59.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $1,779.00 / $4,063.00	Facility		$264.00	$1,779.00	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $59.28 / $90.99	Professional		$45.55	$59.28	$90.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $4,826.68 / $6,924.60	Facility		$49.26	$4,826.68	$6,924.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $75.84 / $105.01	Professional		$58.34	$75.84	$105.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $48.95 / $48.95	Facility		$42.60	$48.95	$48.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $74.72 / $117.76	Professional		$55.85	$74.72	$117.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $240.40 / $240.40	Facility		$224.03	$240.40	$240.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $406.05 / $496.58	Professional		$362.00	$406.05	$496.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $58.99 / $114.94	Facility		$46.08	$58.99	$114.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $78.98 / $101.89	Professional		$62.23	$78.98	$101.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $93.38 / $184.45	Professional		$52.98	$93.38	$184.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $59.12 / $130.37	Facility		$46.08	$59.12	$130.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $76.66 / $127.24	Professional		$56.12	$76.66	$127.24
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $67.48 / $107.73	Professional		$49.08	$67.48	$107.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $56.76 / $78.76	Professional		$49.69	$56.76	$78.76