Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $2,090.00 / $6,762.00	Facility		$107.32	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $91.50 / $165.63	Professional		$47.87	$91.50	$165.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Professional		$113.45	$113.45	$113.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $123.76 / $428.17	Facility		$71.59	$123.76	$428.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $96.52 / $156.34	Professional		$53.56	$96.52	$156.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $129.49 / $153.80	Professional		$120.87	$129.49	$153.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $88.41 / $114.65	Facility		$53.84	$88.41	$114.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $127.37 / $200.94	Professional		$69.55	$127.37	$200.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $295.12	Facility		$55.00	$55.00	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $882.40 / $1,010.93	Professional		$456.38	$882.40	$1,010.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $110.11 / $177.45	Facility		$57.85	$110.11	$177.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $117.74 / $235.48	Professional		$73.19	$117.74	$235.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $115.39 / $271.95	Professional		$57.52	$115.39	$271.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $110.11 / $177.47	Facility		$57.85	$110.11	$177.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $131.84 / $219.85	Professional		$73.89	$131.84	$219.85
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 $99.56 / $125.23 / $190.47	Professional		$99.56	$125.23	$190.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $113.45 / $158.83	Professional		$100.49	$113.45	$158.83