Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $2,512.00 / $9,897.00	Facility		$93.29	$2,512.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $103.79 / $189.34	Professional		$52.64	$103.79	$189.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $120.02 / $128.74	Professional		$103.98	$120.02	$128.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $272.58 / $599.75	Facility		$124.06	$272.58	$599.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $108.61 / $180.52	Professional		$54.76	$108.61	$180.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Facility		$29.27	$29.27	$29.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $61.59 / $102.46	Professional		$31.87	$61.59	$102.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $72.52 / $124.98	Facility		$47.80	$72.52	$124.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $119.90 / $200.99	Professional		$61.82	$119.90	$200.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $294.55	Facility		$55.00	$55.00	$294.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $511.96 / $978.64 / $1,139.84	Professional		$511.96	$978.64	$1,139.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $108.70 / $180.29	Facility		$56.21	$108.70	$180.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $157.19 / $226.13	Professional		$72.38	$157.19	$226.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $118.98 / $156.43	Professional		$49.75	$118.98	$156.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $108.79 / $181.05	Facility		$56.21	$108.79	$181.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $125.77 / $232.71	Professional		$64.87	$125.77	$232.71
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $140.87 / $203.18	Professional		$107.58	$140.87	$203.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $126.23 / $176.72	Professional		$112.36	$126.23	$176.72