Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $3,186.00 / $10,234.00	Facility		$77.81	$3,186.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $87.41 / $183.65	Professional		$43.51	$87.41	$183.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $98.12 / $121.35	Professional		$55.65	$98.12	$121.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $270.83 / $594.08	Facility		$124.06	$270.83	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $88.24 / $156.34	Professional		$45.48	$88.24	$156.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $191.09 / $249.78	Facility		$49.90	$191.09	$249.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $56.10 / $100.17	Professional		$27.43	$56.10	$100.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $109.16 / $110.33	Facility		$41.20	$109.16	$110.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $103.73 / $175.53	Professional		$52.89	$103.73	$175.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $253.75	Facility		$55.00	$55.00	$253.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.93 / $863.36 / $1,005.38	Professional		$450.93	$863.36	$1,005.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $93.66 / $154.65	Facility		$48.25	$93.66	$154.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $116.12 / $209.02	Professional		$64.39	$116.12	$209.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $105.20 / $138.13	Professional		$42.92	$105.20	$138.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $94.61 / $155.61	Facility		$48.25	$94.61	$155.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $105.75 / $197.28	Professional		$55.22	$105.75	$197.28
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 $80.93 / $117.98 / $172.50	Professional		$80.93	$117.98	$172.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $111.30 / $155.82	Professional		$99.10	$111.30	$155.82