Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.12 / $1,731.00 / $6,021.00	Facility		$76.12	$1,731.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $43.78 / $80.30	Professional		$25.44	$43.78	$80.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $169.00 / $369.61	Facility		$71.95	$169.00	$369.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $50.44 / $75.23	Professional		$29.24	$50.44	$75.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $15.20 / $129.52	Facility		$15.20	$15.20	$129.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $56.55 / $74.14	Professional		$35.54	$56.55	$74.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $35.79 / $54.23	Facility		$30.51	$35.79	$54.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $53.02 / $83.26	Professional		$34.28	$53.02	$83.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $170.67	Facility		$55.00	$55.00	$170.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $240.24 / $416.80 / $483.90	Professional		$240.24	$416.80	$483.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $47.78 / $73.65	Facility		$30.13	$47.78	$73.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $64.04 / $104.09	Professional		$40.03	$64.04	$104.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $58.88 / $80.14	Professional		$34.22	$58.88	$80.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $47.52 / $73.76	Facility		$30.13	$47.52	$73.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $58.00 / $90.28	Professional		$35.90	$58.00	$90.28
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,376.00	Facility		$161.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $53.76 / $78.29	Professional		$39.83	$53.76	$78.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $53.53 / $74.94	Professional		$47.76	$53.53	$74.94