Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.28 / $1,655.00 / $6,000.00	Facility		$183.28	$1,655.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $46.29 / $99.44	Professional		$19.25	$46.29	$99.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $45.90 / $71.15	Professional		$41.77	$45.90	$71.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $35.82 / $64.33	Professional		$17.13	$35.82	$64.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $21.41	Facility		$21.41	$21.41	$21.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $44.87 / $75.73	Professional		$22.58	$44.87	$75.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $49.85 / $49.85	Facility		$17.46	$49.85	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $46.49 / $82.29	Professional		$22.84	$46.49	$82.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $107.26	Facility		$55.00	$55.00	$107.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $179.33 / $414.08	Professional		$177.18	$179.33	$414.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $39.01 / $62.91	Facility		$20.38	$39.01	$62.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $70.47 / $115.47	Professional		$31.55	$70.47	$115.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $41.31 / $57.37	Professional		$18.23	$41.31	$57.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $39.02 / $63.28	Facility		$20.38	$39.02	$63.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $48.71 / $88.18	Professional		$23.83	$48.71	$88.18
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 $40.88 / $54.50 / $82.89	Professional		$40.88	$54.50	$82.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $45.90 / $64.26	Professional		$40.86	$45.90	$64.26