Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $2,572.00 / $9,897.00	Facility		$80.56	$2,572.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $64.88 / $130.56	Professional		$26.69	$64.88	$130.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $83.01 / $105.49	Professional		$39.58	$83.01	$105.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $270.83 / $594.08	Facility		$120.56	$270.83	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $72.34 / $129.93	Professional		$30.22	$72.34	$129.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $81.40 / $145.94	Professional		$50.17	$81.40	$145.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $51.63 / $91.17	Facility		$27.36	$51.63	$91.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $75.00 / $145.06	Professional		$34.28	$75.00	$145.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $181.31	Facility		$55.00	$55.00	$181.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $709.12 / $826.88	Professional		$368.16	$709.12	$826.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $70.17 / $125.67	Facility		$32.06	$70.17	$125.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $88.00 / $162.21	Professional		$42.47	$88.00	$162.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $86.33 / $114.36	Professional		$28.58	$86.33	$114.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $70.63 / $125.72	Facility		$32.06	$70.63	$125.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $77.50 / $160.79	Professional		$35.46	$77.50	$160.79
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 $69.78 / $96.01 / $144.66	Professional		$69.78	$96.01	$144.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $91.22 / $127.71	Professional		$81.44	$91.22	$127.71