Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $3,213.00 / $10,234.00	Facility		$116.19	$3,213.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $115.55 / $194.12	Professional		$62.64	$115.55	$194.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $143.79 / $161.47	Professional		$126.97	$143.79	$161.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $163.41 / $645.84	Facility		$86.76	$163.41	$645.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $121.04 / $200.65	Professional		$62.67	$121.04	$200.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $179.74 / $258.82	Professional		$143.79	$179.74	$258.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $154.16 / $154.16	Facility		$59.63	$154.16	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $137.32 / $228.97	Professional		$76.54	$137.32	$228.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $367.13	Facility		$55.00	$55.00	$367.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.78 / $1,113.92 / $1,295.70	Professional		$583.78	$1,113.92	$1,295.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $122.23 / $203.98	Facility		$69.84	$122.23	$203.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $149.76 / $278.55	Professional		$90.16	$149.76	$278.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $136.88 / $178.91	Professional		$62.31	$136.88	$178.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $122.23 / $204.80	Facility		$69.84	$122.23	$204.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $143.91 / $264.73	Professional		$79.15	$143.91	$264.73
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 $121.64 / $162.76 / $247.40	Professional		$121.64	$162.76	$247.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $143.79 / $201.31	Professional		$127.82	$143.79	$201.31