Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.93 / $1,861.00 / $5,906.00	Facility		$151.93	$1,861.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $109.34 / $199.89	Professional		$68.28	$109.34	$199.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $62.23 / $236.22	Professional		$54.11	$62.23	$236.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.17 / $132.12 / $514.61	Facility		$75.17	$132.12	$514.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $118.50 / $169.95	Professional		$77.26	$118.50	$169.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $301.64 / $2,061.44	Facility		$80.63	$301.64	$2,061.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $101.09 / $193.21	Professional		$65.41	$101.09	$193.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $374.81 / $374.81	Facility		$74.29	$374.81	$374.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $128.11 / $192.05	Professional		$84.83	$128.11	$192.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $440.37 / $9,102.00 / $11,500.00	Facility		$440.37	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.64 / $919.68 / $1,079.63	Professional		$616.64	$919.68	$1,079.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $118.13 / $172.20	Facility		$77.26	$118.13	$172.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $154.62 / $231.03	Professional		$97.51	$154.62	$231.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $118.93 / $148.85	Professional		$77.80	$118.93	$148.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $118.13 / $174.33	Facility		$77.72	$118.13	$174.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $132.94 / $221.27	Professional		$85.82	$132.94	$221.27
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $128.84 / $194.42	Professional		$96.63	$128.84	$194.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $118.93 / $166.50	Professional		$106.01	$118.93	$166.50