Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.78 / $1,861.00 / $7,316.00	Facility		$133.78	$1,861.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $147.06 / $359.19	Professional		$91.23	$147.06	$359.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $113.21 / $133.32	Professional		$103.02	$113.21	$133.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $574.47 / $1,232.57	Facility		$279.95	$574.47	$1,232.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $114.04 / $182.64	Professional		$82.45	$114.04	$182.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $404.27 / $524.57	Facility		$299.83	$404.27	$524.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $136.36 / $180.83	Professional		$106.55	$136.36	$180.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $57.24 / $140.59	Facility		$57.24	$57.24	$140.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $185.71 / $338.49	Professional		$117.26	$185.71	$338.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $497.75	Facility		$55.00	$55.00	$497.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $1,195.80 / $1,346.74	Professional		$739.76	$1,195.80	$1,346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $149.21 / $307.56	Facility		$97.73	$149.21	$307.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $188.76 / $274.94	Professional		$125.34	$188.76	$274.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $124.59	Facility		$95.88	$95.88	$124.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $147.16 / $308.01	Facility		$97.73	$147.16	$308.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $197.65 / $340.66	Professional		$121.58	$197.65	$340.66
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 $127.30 / $186.61 / $302.39	Professional		$127.30	$186.61	$302.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $133.19 / $185.29	Professional		$117.33	$133.19	$185.29