Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $983.00 / $5,404.00	Facility		$65.26	$983.00	$5,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $45.89 / $89.19	Professional		$13.90	$45.89	$89.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $56.44 / $82.74	Professional		$56.13	$56.44	$82.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $270.32 / $594.08	Facility		$135.50	$270.32	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $51.00 / $91.59	Professional		$14.06	$51.00	$91.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $201.31 / $261.20	Facility		$131.28	$201.31	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $103.68 / $110.16	Professional		$74.52	$103.68	$110.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $172.31 / $172.31	Facility		$13.60	$172.31	$172.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $50.05 / $94.74	Professional		$16.21	$50.05	$94.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $115.02	Facility		$55.00	$55.00	$115.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $504.72 / $589.04	Professional		$260.69	$504.72	$589.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $45.82 / $86.51	Facility		$14.88	$45.82	$86.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $37.50 / $122.27	Professional		$18.60	$37.50	$122.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $64.80 / $81.00	Professional		$14.15	$64.80	$81.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $46.01 / $86.51	Facility		$14.88	$46.01	$86.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $50.05 / $102.97	Professional		$16.87	$50.05	$102.97
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 $41.76 / $59.10 / $86.72	Professional		$41.76	$59.10	$86.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $64.80 / $90.72	Professional		$57.98	$64.80	$90.72