Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $2,496.00 / $7,078.00	Facility		$116.14	$2,496.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $109.18 / $193.59	Professional		$69.45	$109.18	$193.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $58.98 / $58.98	Professional		$58.98	$58.98	$58.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $122.67 / $443.30	Facility		$73.59	$122.67	$443.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $117.89 / $172.15	Professional		$75.41	$117.89	$172.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $79.29 / $455.72	Facility		$39.92	$79.29	$455.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $100.26 / $194.62	Professional		$64.88	$100.26	$194.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $74.17 / $120.68	Facility		$74.17	$74.17	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $126.83 / $192.18	Professional		$84.16	$126.83	$192.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $427.12 / $9,102.00 / $11,500.00	Facility		$427.12	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $606.08 / $913.84 / $1,063.95	Professional		$606.08	$913.84	$1,063.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $117.17 / $172.81	Facility		$77.29	$117.17	$172.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $153.65 / $228.63	Professional		$101.49	$153.65	$228.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $117.95 / $146.38	Professional		$76.72	$117.95	$146.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $117.17 / $173.72	Facility		$77.29	$117.17	$173.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $134.22 / $217.79	Professional		$86.97	$134.22	$217.79
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 $96.66 / $127.32 / $185.82	Professional		$96.66	$127.32	$185.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $117.95 / $165.13	Professional		$104.91	$117.95	$165.13