Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.56 / $1,963.00 / $6,261.00	Facility		$220.56	$1,963.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $157.59 / $290.08	Professional		$102.97	$157.59	$290.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $100.57 / $182.15	Professional		$81.09	$100.57	$182.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $168.62 / $671.00	Facility		$93.55	$168.62	$671.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.77 / $229.61	Professional		$115.43	$164.77	$229.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $104.72 / $534.16	Facility		$65.44	$104.72	$534.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $174.05 / $271.10	Professional		$89.49	$174.05	$271.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $1,563.89 / $1,563.89	Facility		$120.99	$1,563.89	$1,563.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $187.14 / $286.98	Professional		$138.80	$187.14	$286.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $705.85 / $9,102.00 / $11,500.00	Facility		$705.85	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.32 / $1,296.16 / $1,508.48	Professional		$1,000.32	$1,296.16	$1,508.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.58 / $173.80 / $251.51	Facility		$127.58	$173.80	$251.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $217.94 / $313.83	Professional		$107.50	$217.94	$313.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $168.59 / $213.73	Professional		$126.79	$168.59	$213.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.58 / $174.02 / $251.91	Facility		$127.58	$174.02	$251.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $196.90 / $320.81	Professional		$140.44	$196.90	$320.81
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 $138.32 / $184.42 / $267.41	Professional		$138.32	$184.42	$267.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $167.67 / $234.74	Professional		$148.80	$167.67	$234.74