Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.65 / $2,901.00 / $10,234.00	Facility		$110.65	$2,901.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $100.08 / $160.37	Professional		$54.67	$100.08	$160.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $56.01 / $56.01	Professional		$56.01	$56.01	$56.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $129.79 / $512.96	Facility		$67.98	$129.79	$512.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $110.19 / $178.49	Professional		$57.25	$110.19	$178.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $57.06 / $82.59	Facility		$46.65	$57.06	$82.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $63.41 / $104.62	Professional		$32.74	$63.41	$104.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $139.59 / $139.59	Facility		$50.89	$139.59	$139.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $123.77 / $203.62	Professional		$64.63	$123.77	$203.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $300.25	Facility		$55.00	$55.00	$300.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.88 / $984.08 / $1,138.95	Professional		$512.88	$984.08	$1,138.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $111.00 / $183.26	Facility		$59.11	$111.00	$183.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $132.77 / $245.46	Professional		$74.40	$132.77	$245.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $120.01 / $157.16	Professional		$53.07	$120.01	$157.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $111.10 / $186.45	Facility		$59.11	$111.10	$186.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $127.65 / $236.09	Professional		$67.81	$127.65	$236.09
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 $109.03 / $144.66 / $209.02	Professional		$109.03	$144.66	$209.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $126.81 / $177.53	Professional		$112.63	$126.81	$177.53