Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $2,000.00 / $6,691.00	Facility		$85.27	$2,000.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $61.00 / $98.39	Professional		$40.29	$61.00	$98.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $65.59 / $86.41	Professional		$59.69	$65.59	$86.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.81 / $274.33 / $599.75	Facility		$125.81	$274.33	$599.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $57.51 / $89.03	Professional		$40.39	$57.51	$89.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $191.09 / $249.78	Facility		$45.08	$191.09	$249.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $72.91 / $108.22	Professional		$46.93	$72.91	$108.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $81.61 / $81.61	Facility		$35.95	$81.61	$81.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $72.52 / $112.25	Professional		$46.98	$72.52	$112.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $223.54	Facility		$55.00	$55.00	$223.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $509.28 / $582.75	Professional		$330.32	$509.28	$582.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $65.48 / $98.59	Facility		$42.88	$65.48	$98.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $81.23 / $123.73	Professional		$54.59	$81.23	$123.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $65.59 / $81.84	Professional		$37.44	$65.59	$81.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $65.48 / $98.59	Facility		$42.88	$65.48	$98.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $74.84 / $123.87	Professional		$49.51	$74.84	$123.87
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $71.09 / $106.65	Professional		$53.33	$71.09	$106.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $65.59 / $91.83	Professional		$57.98	$65.59	$91.83