Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.13 / $1,580.99 / $6,000.00	Facility		$212.13	$1,580.99	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $150.00 / $344.57	Professional		$82.20	$150.00	$344.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $136.03 / $149.49	Professional		$136.03	$136.03	$149.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $144.07 / $552.82	Facility		$86.51	$144.07	$552.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $127.69 / $203.20	Professional		$84.68	$127.69	$203.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $404.77 / $1,602.06	Facility		$159.91	$404.77	$1,602.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $171.54 / $254.13	Professional		$151.72	$171.54	$254.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $335.58 / $335.58	Facility		$92.25	$335.58	$335.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $188.01 / $312.33	Professional		$115.93	$188.01	$312.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.23 / $9,102.00 / $11,500.00	Facility		$516.23	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,162.40 / $1,334.55	Professional		$800.00	$1,162.40	$1,334.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $159.27 / $289.85	Facility		$96.47	$159.27	$289.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $194.08 / $279.47	Professional		$124.13	$194.08	$279.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $164.44 / $227.18	Professional		$102.88	$164.44	$227.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $158.79 / $294.12	Facility		$96.47	$158.79	$294.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $199.12 / $329.16	Professional		$121.16	$199.12	$329.16
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $174.27 / $272.30	Professional		$120.45	$174.27	$272.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $149.49 / $209.29	Professional		$132.51	$149.49	$209.29