Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $3,213.00 / $10,234.00	Facility		$111.51	$3,213.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $114.84 / $180.64	Professional		$62.00	$114.84	$180.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $142.97 / $142.97	Professional		$142.97	$142.97	$142.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.51 / $494.17 / $1,083.14	Facility		$188.51	$494.17	$1,083.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $120.45 / $195.11	Professional		$64.64	$120.45	$195.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $86.97 / $93.01	Facility		$69.26	$86.97	$93.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $45.62 / $71.00	Professional		$34.61	$45.62	$71.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $112.57 / $140.38	Facility		$57.00	$112.57	$140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $137.00 / $225.96	Professional		$74.00	$137.00	$225.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $351.79	Facility		$55.00	$55.00	$351.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $570.39 / $1,086.72 / $1,265.78	Professional		$570.39	$1,086.72	$1,265.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $124.01 / $202.19	Facility		$66.97	$124.01	$202.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $146.21 / $263.18	Professional		$86.53	$146.21	$263.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $133.69 / $174.90	Professional		$59.56	$133.69	$174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $125.62 / $204.08	Facility		$66.97	$125.62	$204.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $141.61 / $257.23	Professional		$76.73	$141.61	$257.23
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 $118.66 / $158.21 / $223.58	Professional		$118.66	$158.21	$223.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $140.34 / $196.48	Professional		$124.79	$140.34	$196.48