Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $1,645.00 / $6,000.00	Facility		$34.22	$1,645.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $24.10 / $46.23	Professional		$11.70	$24.10	$46.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $86.37 / $196.39	Facility		$47.31	$86.37	$196.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $25.77 / $41.75	Professional		$12.26	$25.77	$41.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $69.73 / $94.05	Facility		$55.78	$69.73	$94.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $55.03 / $55.03	Facility		$12.59	$55.03	$55.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $30.24 / $48.94	Professional		$14.83	$30.24	$48.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $69.06	Facility		$55.00	$55.00	$69.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $239.28 / $275.77	Professional		$124.50	$239.28	$275.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $26.76 / $44.17	Facility		$13.59	$26.76	$44.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $27.82 / $59.56	Professional		$17.39	$27.82	$59.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $31.36 / $74.00	Professional		$13.95	$31.36	$74.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $26.76 / $44.39	Facility		$13.59	$26.76	$44.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $30.95 / $53.99	Professional		$15.39	$30.95	$53.99
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $33.56 / $50.10	Professional		$25.37	$33.56	$50.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $30.82 / $43.15	Professional		$27.33	$30.82	$43.15