Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $2,017.00 / $6,386.00	Facility		$69.83	$2,017.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $55.48 / $102.62	Professional		$39.97	$55.48	$102.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $51.29 / $68.41	Professional		$39.67	$51.29	$68.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $1,013.00 / $7,206.00	Facility		$193.22	$1,013.00	$7,206.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $58.09 / $95.62	Professional		$43.37	$58.09	$95.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $69.23 / $80.26	Professional		$66.87	$69.23	$80.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $105.82 / $105.82	Facility		$46.97	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $74.54 / $114.97	Professional		$52.52	$74.54	$114.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $259.20	Facility		$55.00	$55.00	$259.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $520.55 / $612.83	Professional		$386.96	$520.55	$612.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $68.42 / $96.73	Facility		$51.32	$68.42	$96.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $96.81 / $131.16	Professional		$65.50	$96.81	$131.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,372.75 / $1,372.75 / $3,186.41	Facility		$1,372.75	$1,372.75	$3,186.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $85.76 / $175.41	Professional		$52.33	$85.76	$175.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $68.42 / $98.60	Facility		$51.32	$68.42	$98.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $78.68 / $123.53	Professional		$54.61	$78.68	$123.53
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 $56.49 / $75.31 / $114.91	Professional		$56.49	$75.31	$114.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $68.41 / $95.03	Professional		$60.19	$68.41	$95.03