Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.84 / $1,506.51 / $5,716.00	Facility		$163.84	$1,506.51	$5,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $112.70 / $206.44	Professional		$41.27	$112.70	$206.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $118.37 / $177.06	Professional		$103.95	$118.37	$177.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $132.63 / $525.11	Facility		$82.11	$132.63	$525.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $89.66 / $161.03	Professional		$41.59	$89.66	$161.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $142.85 / $245.52 / $502.24	Facility		$142.85	$245.52	$502.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $120.42 / $205.61	Professional		$49.82	$120.42	$205.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $170.53 / $170.53	Facility		$37.56	$170.53	$170.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $113.53 / $192.45	Professional		$49.05	$113.53	$192.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $229.71	Facility		$55.00	$55.00	$229.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.32 / $885.84 / $1,035.38	Professional		$442.32	$885.84	$1,035.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $96.55 / $157.72	Facility		$43.60	$96.55	$157.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $178.50 / $242.37	Professional		$67.94	$178.50	$242.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $102.81 / $143.12	Professional		$39.36	$102.81	$143.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $96.55 / $157.72	Facility		$43.60	$96.55	$157.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $118.17 / $208.72	Professional		$50.90	$118.17	$208.72
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 $95.15 / $128.84 / $191.70	Professional		$95.15	$128.84	$191.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $114.23 / $159.91	Professional		$101.87	$114.23	$159.91