Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $1,241.71 / $5,435.00	Facility		$140.72	$1,241.71	$5,435.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $127.86 / $241.02	Professional		$82.89	$127.86	$241.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $141.19 / $205.70	Professional		$141.19	$141.19	$205.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $158.11 / $620.67	Facility		$87.08	$158.11	$620.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $139.74 / $207.49	Professional		$96.65	$139.74	$207.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $225.92 / $699.84	Facility		$101.40	$225.92	$699.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $114.92 / $199.86	Professional		$89.94	$114.92	$199.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $157.15 / $157.15	Facility		$99.30	$157.15	$157.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $157.88 / $244.28	Professional		$109.41	$157.88	$244.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $546.96	Facility		$55.00	$55.00	$546.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $771.12 / $1,093.20 / $1,275.00	Professional		$771.12	$1,093.20	$1,275.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $138.65 / $207.13	Facility		$91.67	$138.65	$207.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $192.53 / $270.11	Professional		$129.38	$192.53	$270.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $145.26 / $179.75	Professional		$104.93	$145.26	$179.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $139.74 / $208.49	Facility		$92.20	$139.74	$208.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.77 / $167.65 / $272.38	Professional		$111.77	$167.65	$272.38
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $155.55 / $223.28	Professional		$116.66	$155.55	$223.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $141.19 / $197.68	Professional		$125.61	$141.19	$197.68