Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $2,485.00 / $7,316.00	Facility		$143.94	$2,485.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $122.79 / $198.53	Professional		$86.56	$122.79	$198.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $138.50 / $205.14	Professional		$132.35	$138.50	$205.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $147.04 / $564.85	Facility		$80.34	$147.04	$564.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $134.08 / $198.85	Professional		$97.57	$134.08	$198.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $92.75 / $274.43	Facility		$50.60	$92.75	$274.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $80.18 / $119.05	Professional		$55.82	$80.18	$119.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $141.66 / $141.66	Facility		$94.91	$141.66	$141.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $147.69 / $222.80	Professional		$106.54	$147.69	$222.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $745.08 / $9,102.00 / $11,500.00	Facility		$745.08	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $785.44 / $1,026.40 / $1,196.40	Professional		$785.44	$1,026.40	$1,196.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.95 / $136.80 / $194.49	Facility		$99.95	$136.80	$194.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $193.37 / $256.89	Professional		$131.81	$193.37	$256.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $132.35 / $169.03	Professional		$98.69	$132.35	$169.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.95 / $136.90 / $198.53	Facility		$99.95	$136.90	$198.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $153.94 / $252.87	Professional		$110.15	$153.94	$252.87
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 $106.47 / $143.28 / $207.76	Professional		$106.47	$143.28	$207.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $132.35 / $185.29	Professional		$117.88	$132.35	$185.29