Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.13 / $1,978.00 / $6,762.00	Facility		$256.13	$1,978.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $209.43 / $320.87	Professional		$142.29	$209.43	$320.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $125.39 / $250.37	Professional		$103.08	$125.39	$250.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $240.80 / $958.24	Facility		$133.59	$240.80	$958.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $233.31 / $334.01	Professional		$154.52	$233.31	$334.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $749.90 / $924.92	Facility		$253.60	$749.90	$924.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $184.09 / $276.82	Professional		$126.01	$184.09	$276.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.60 / $274.55 / $274.55	Facility		$140.60	$274.55	$274.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $261.42 / $390.59	Professional		$172.40	$261.42	$390.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $857.66 / $9,102.00 / $11,500.00	Facility		$857.66	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.76 / $1,827.84 / $2,121.23	Professional		$1,233.76	$1,827.84	$2,121.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $235.08 / $354.29	Facility		$158.90	$235.08	$354.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $272.20 / $456.65	Professional		$160.08	$272.20	$456.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $235.03 / $298.10	Professional		$147.22	$235.03	$298.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $235.08 / $362.03	Facility		$158.90	$235.08	$362.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $274.88 / $451.41	Professional		$179.16	$274.88	$451.41
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 $197.32 / $261.64 / $389.91	Professional		$197.32	$261.64	$389.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $236.19 / $330.67	Professional		$209.54	$236.19	$330.67