Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $1,800.00 / $6,021.00	Facility		$55.48	$1,800.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $49.11 / $102.10	Professional		$22.55	$49.11	$102.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $55.19 / $74.70	Professional		$30.73	$55.19	$74.70
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 $23.51 / $46.81 / $82.13	Professional		$23.51	$46.81	$82.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Facility		$25.05	$25.05	$25.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $57.79 / $91.06	Professional		$26.41	$57.79	$91.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.03 / $63.15 / $63.15	Facility		$21.03	$63.15	$63.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $55.62 / $94.59	Professional		$26.79	$55.62	$94.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $124.26	Facility		$55.00	$55.00	$124.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $426.96 / $499.65	Professional		$209.46	$426.96	$499.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $45.60 / $75.40	Facility		$23.88	$45.60	$75.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $68.25 / $115.16	Professional		$33.60	$68.25	$115.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $49.67 / $69.34	Professional		$21.98	$49.67	$69.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $46.48 / $75.61	Facility		$23.88	$46.48	$75.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $57.19 / $102.98	Professional		$27.80	$57.19	$102.98
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 $46.71 / $62.07 / $94.41	Professional		$46.71	$62.07	$94.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $55.19 / $77.27	Professional		$49.14	$55.19	$77.27