Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $2,000.00 / $6,762.00	Facility		$141.63	$2,000.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $123.43 / $203.82	Professional		$49.92	$123.43	$203.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $142.06 / $142.06	Professional		$53.41	$142.06	$142.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.91 / $174.31 / $711.21	Facility		$106.91	$174.31	$711.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $111.01 / $199.37	Professional		$49.97	$111.01	$199.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $191.78 / $252.85	Professional		$163.37	$191.78	$252.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $236.38 / $236.38	Facility		$45.77	$236.38	$236.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $140.94 / $232.88	Professional		$59.24	$140.94	$232.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $276.39	Facility		$55.00	$55.00	$276.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.32 / $1,100.80 / $1,289.09	Professional		$549.32	$1,100.80	$1,289.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $117.92 / $195.38	Facility		$52.82	$117.92	$195.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $109.34 / $267.25	Professional		$68.34	$109.34	$267.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $125.35 / $177.98	Professional		$48.07	$125.35	$177.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $119.47 / $196.27	Facility		$52.82	$119.47	$196.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $145.18 / $252.86	Professional		$61.48	$145.18	$252.86
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $155.91 / $237.14	Professional		$116.93	$155.91	$237.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $142.06 / $198.88	Professional		$126.71	$142.06	$198.88