Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.98 / $3,213.00 / $10,234.00	Facility		$97.98	$3,213.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $99.32 / $177.52	Professional		$54.18	$99.32	$177.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $126.32 / $134.13	Professional		$111.49	$126.32	$134.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $127.14 / $512.96	Facility		$65.00	$127.14	$512.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $100.96 / $175.51	Professional		$53.01	$100.96	$175.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $62.45 / $146.97	Facility		$46.65	$62.45	$146.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $94.29 / $151.16	Professional		$62.35	$94.29	$151.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.08 / $136.52 / $136.52	Facility		$50.08	$136.52	$136.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $117.90 / $196.44	Professional		$64.98	$117.90	$196.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $309.13	Facility		$55.00	$55.00	$309.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $978.56 / $1,139.78	Professional		$513.03	$978.56	$1,139.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $107.70 / $171.82	Facility		$59.05	$107.70	$171.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $155.19 / $244.87	Professional		$76.01	$155.19	$244.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $119.95 / $157.09	Professional		$52.32	$119.95	$157.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $107.99 / $174.38	Facility		$59.05	$107.99	$174.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $120.07 / $208.28	Professional		$67.81	$120.07	$208.28
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 $91.20 / $132.71 / $186.03	Professional		$91.20	$132.71	$186.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $126.32 / $176.85	Professional		$112.36	$126.32	$176.85