Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $1,751.00 / $7,439.00	Facility		$118.39	$1,751.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $80.55 / $155.21	Professional		$61.28	$80.55	$155.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $86.71 / $114.25	Professional		$78.91	$86.71	$114.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $269.08 / $592.33	Facility		$102.51	$269.08	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $88.83 / $127.68	Professional		$70.18	$88.83	$127.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $201.31 / $261.20	Facility		$183.26	$201.31	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $58.64 / $140.51	Professional		$41.62	$58.64	$140.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $87.17 / $87.95	Facility		$67.19	$87.17	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $97.14 / $145.31	Professional		$74.37	$97.14	$145.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $9,102.00 / $11,500.00	Facility		$402.09	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $563.44 / $673.20 / $778.65	Professional		$563.44	$673.20	$778.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $89.27 / $124.87	Facility		$68.70	$89.27	$124.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $123.34 / $160.76	Professional		$84.46	$123.34	$160.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $88.72 / $110.16	Professional		$70.08	$88.72	$110.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $90.16 / $126.75	Facility		$68.69	$90.16	$126.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $101.15 / $165.35	Professional		$76.94	$101.15	$165.35
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 $68.20 / $90.95 / $137.79	Professional		$68.20	$90.95	$137.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $86.71 / $121.39	Professional		$77.03	$86.71	$121.39