Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,778.28 / $7,244.36	Facility		$467.74	$1,778.28	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $354.81	Professional		$20.89	$37.15	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $38.90	Professional		$19.05	$23.44	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,000.00 / $7,079.46	Facility		$204.17	$1,000.00	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $50.12	Professional		$19.95	$32.36	$50.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $245.47 / $245.47	Facility		$21.88	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $66.07	Professional		$25.12	$40.74	$66.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $199.53	Facility		$54.95	$56.23	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $331.13	Professional		$288.40	$331.13	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $3,981.07	Facility		$22.91	$53.70	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $83.18	Professional		$21.88	$38.02	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $33.11	Professional		$20.89	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $54.95	Facility		$21.88	$34.67	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $69.18	Professional		$25.12	$41.69	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $52.48	Professional		$22.39	$34.67	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81