Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,630.78 / $12,022.64	Facility		$177.83	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $102.33 / $346.74	Professional		$43.65	$102.33	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $123.03	Professional		$48.98	$109.65	$123.03
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 $39.81 / $87.10 / $151.36	Professional		$39.81	$87.10	$151.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $158.49	Professional		$54.95	$75.86	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $112.20	Facility		$40.74	$54.95	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $181.97	Professional		$53.70	$104.71	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,584.89	Facility		$54.95	$56.23	$1,584.89
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 $43.65 / $112.20 / $2,511.89	Facility		$43.65	$112.20	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $218.78	Professional		$43.65	$97.72	$218.78
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 $42.66 / $97.72 / $162.18	Facility		$42.66	$97.72	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $194.98	Professional		$53.70	$107.15	$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 / $85.11 / $147.91	Professional		$44.67	$85.11	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20