Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.56 / $1,899.00 / $6,762.00	Facility		$165.56	$1,899.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $127.60 / $229.90	Professional		$80.33	$127.60	$229.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $87.18 / $138.53	Professional		$65.95	$87.18	$138.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $145.41 / $502.99	Facility		$89.57	$145.41	$502.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $135.04 / $200.22	Professional		$94.85	$135.04	$200.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $96.65 / $257.99	Facility		$50.85	$96.65	$257.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $97.86 / $153.91	Professional		$77.70	$97.86	$153.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $137.62 / $147.83	Facility		$92.04	$137.62	$147.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $157.82 / $233.61	Professional		$107.11	$157.82	$233.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $546.58 / $9,102.00 / $11,500.00	Facility		$546.58	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $773.60 / $1,121.92 / $1,308.68	Professional		$773.60	$1,121.92	$1,308.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $144.40 / $210.78	Facility		$99.17	$144.40	$210.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $171.32 / $271.91	Professional		$89.45	$171.32	$271.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $144.88 / $182.41	Professional		$96.54	$144.88	$182.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $144.40 / $211.99	Facility		$99.17	$144.40	$211.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $165.45 / $273.89	Professional		$110.61	$165.45	$273.89
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $156.99 / $235.49	Professional		$117.74	$156.99	$235.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $144.97 / $202.96	Professional		$128.93	$144.97	$202.96