Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,715.35 / $12,022.64	Facility		$109.65	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $457.09	Professional		$44.67	$112.20	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $147.91	Professional		$74.13	$109.65	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $281.84 / $616.60	Facility		$134.90	$281.84	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $151.36	Professional		$41.69	$87.10	$151.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $75.86	Facility		$50.12	$61.66	$75.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $151.36	Professional		$28.84	$69.18	$151.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $109.65 / $109.65	Facility		$40.74	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $181.97	Professional		$53.70	$102.33	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,187.76	Facility		$54.95	$56.23	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,000.00	Professional		$870.96	$1,000.00	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $109.65 / $2,511.89	Facility		$44.67	$109.65	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $234.42	Professional		$44.67	$102.33	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $93.33 / $154.88	Facility		$43.65	$93.33	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $194.98	Professional		$54.95	$104.71	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $144.54	Professional		$44.67	$83.18	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20