Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $3,445.00 / $10,836.00	Facility		$117.16	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $115.37 / $180.31	Professional		$62.23	$115.37	$180.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $118.63 / $118.63	Professional		$118.63	$118.63	$118.63
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 $63.71 / $115.98 / $187.87	Professional		$63.71	$115.98	$187.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $214.38 / $227.78	Professional		$154.09	$214.38	$227.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $59.25 / $136.34	Facility		$59.25	$59.25	$136.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $134.19 / $218.37	Professional		$72.51	$134.19	$218.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $333.74	Facility		$55.00	$55.00	$333.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $1,040.72 / $1,196.03	Professional		$540.60	$1,040.72	$1,196.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $125.04 / $196.46	Facility		$66.58	$125.04	$196.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $133.26 / $250.36	Professional		$83.29	$133.26	$250.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $120.73 / $166.82	Professional		$59.85	$120.73	$166.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $125.54 / $200.99	Facility		$66.58	$125.54	$200.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $141.38 / $254.79	Professional		$75.92	$141.38	$254.79
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 $111.51 / $152.53 / $222.62	Professional		$111.51	$152.53	$222.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $133.99 / $187.59	Professional		$118.71	$133.99	$187.59