Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $2,000.00 / $6,762.00	Facility		$226.10	$2,000.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $198.72 / $332.60	Professional		$122.13	$198.72	$332.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $121.28 / $177.18	Professional		$104.70	$121.28	$177.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.77 / $238.69 / $938.02	Facility		$130.77	$238.69	$938.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $225.93 / $323.14	Professional		$148.19	$225.93	$323.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $124.99 / $144.52	Facility		$78.14	$124.99	$144.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $181.55 / $314.42	Professional		$90.78	$181.55	$314.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $133.40 / $185.04 / $229.67	Facility		$133.40	$185.04	$229.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.35 / $251.19 / $375.67	Professional		$164.35	$251.19	$375.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $821.04 / $9,102.00 / $11,500.00	Facility		$821.04	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.44 / $1,771.20 / $2,053.19	Professional		$1,179.44	$1,771.20	$2,053.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $225.84 / $340.49	Facility		$151.00	$225.84	$340.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $236.30 / $392.29	Professional		$141.91	$236.30	$392.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $228.62 / $286.58	Professional		$139.69	$228.62	$286.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $226.93 / $343.74	Facility		$151.00	$226.93	$343.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $263.31 / $436.59	Professional		$170.79	$263.31	$436.59
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,287.00	Facility		$161.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $253.35 / $377.03	Professional		$190.83	$253.35	$377.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $228.62 / $320.07	Professional		$202.91	$228.62	$320.07