Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $1,860.00 / $8,450.00	Facility		$70.39	$1,860.00	$8,450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $79.50 / $152.03	Professional		$38.25	$79.50	$152.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $105.63 / $163.72	Professional		$91.70	$105.63	$163.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $126.47 / $482.47	Facility		$65.00	$126.47	$482.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $83.26 / $149.53	Professional		$40.69	$83.26	$149.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $66.02 / $113.46	Professional		$52.82	$66.02	$113.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $97.14 / $105.65	Facility		$35.95	$97.14	$105.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $94.67 / $167.39	Professional		$46.49	$94.67	$167.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $222.78	Facility		$55.00	$55.00	$222.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.63 / $820.72 / $954.53	Professional		$426.63	$820.72	$954.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $87.73 / $145.56	Facility		$42.85	$87.73	$145.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $100.93 / $190.46	Professional		$54.59	$100.93	$190.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $99.31 / $132.19	Professional		$37.44	$99.31	$132.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $87.82 / $147.10	Facility		$42.85	$87.82	$147.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $97.47 / $186.92	Professional		$48.11	$97.47	$186.92
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 $85.43 / $116.36 / $167.52	Professional		$85.43	$116.36	$167.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $105.63 / $147.88	Professional		$94.14	$105.63	$147.88