Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $1,730.00 / $7,023.31	Facility		$47.65	$1,730.00	$7,023.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $31.05 / $55.85	Professional		$18.54	$31.05	$55.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $25.98 / $37.24	Professional		$23.48	$25.98	$37.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $1,013.00 / $7,556.00	Facility		$193.22	$1,013.00	$7,556.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.95 / $50.77	Professional		$20.42	$31.95	$50.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Facility		$25.28	$25.28	$25.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $31.65 / $44.31	Professional		$23.34	$31.65	$44.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $246.82 / $246.82	Facility		$21.76	$246.82	$246.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $39.86 / $62.76	Professional		$24.93	$39.86	$62.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $118.66	Facility		$55.00	$55.00	$118.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $286.08 / $332.70	Professional		$178.72	$286.08	$332.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $35.99 / $54.94	Facility		$23.87	$35.99	$54.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $47.54 / $69.28	Professional		$29.93	$47.54	$69.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $47.13 / $96.41	Professional		$24.20	$47.13	$96.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $35.99 / $54.89	Facility		$23.87	$35.99	$54.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $42.34 / $69.34	Professional		$25.36	$42.34	$69.34
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 $31.90 / $42.95 / $62.30	Professional		$31.90	$42.95	$62.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $37.24 / $52.02	Professional		$32.85	$37.24	$52.02