Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $2,128.00 / $8,883.00	Facility		$96.80	$2,128.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $88.36 / $168.56	Professional		$43.29	$88.36	$168.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $107.92 / $122.12	Professional		$97.58	$107.92	$122.12
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 $43.68 / $87.76 / $157.62	Professional		$43.68	$87.76	$157.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $191.09 / $249.78	Facility		$48.33	$191.09	$249.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $64.56 / $134.19	Professional		$26.45	$64.56	$134.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $54.57 / $111.73	Facility		$40.35	$54.57	$111.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $105.22 / $177.51	Professional		$50.86	$105.22	$177.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $237.41	Facility		$55.00	$55.00	$237.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $871.60 / $1,007.18	Professional		$450.86	$871.60	$1,007.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $96.26 / $159.72	Facility		$46.41	$96.26	$159.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $116.77 / $217.19	Professional		$58.63	$116.77	$217.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $108.57 / $140.16	Professional		$40.89	$108.57	$140.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $96.76 / $160.08	Facility		$46.41	$96.76	$160.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $106.40 / $202.09	Professional		$53.18	$106.40	$202.09
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 $92.38 / $121.00 / $176.83	Professional		$92.38	$121.00	$176.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $112.03 / $156.84	Professional		$99.66	$112.03	$156.84