Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,778.28 / $6,165.95	Facility		$64.57	$1,778.28	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $53.70 / $169.82	Professional		$14.13	$53.70	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $75.86	Professional		$54.95	$63.10	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $602.56	Facility		$134.90	$275.42	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $51.29 / $87.10	Professional		$12.59	$51.29	$87.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $117.49	Professional		$44.67	$66.07	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $173.78 / $173.78	Facility		$13.49	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $47.86 / $95.50	Professional		$16.98	$47.86	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $588.84	Professional		$501.19	$588.84	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $69.18 / $2,818.38	Facility		$14.79	$69.18	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $50.12 / $128.82	Professional		$14.13	$50.12	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.36 / $60.26	Professional		$12.88	$32.36	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.67 / $89.13	Facility		$14.13	$44.67	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $50.12 / $100.00	Professional		$16.98	$50.12	$100.00
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 $14.13 / $37.15 / $74.13	Professional		$14.13	$37.15	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61