Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $1,228.91 / $5,635.00	Facility		$117.45	$1,228.91	$5,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $100.65 / $161.76	Professional		$62.47	$100.65	$161.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $114.52 / $141.22	Professional		$114.52	$114.52	$141.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $274.33 / $594.08	Facility		$124.06	$274.33	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $106.28 / $169.37	Professional		$61.46	$106.28	$169.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $199.09 / $261.20	Facility		$70.20	$199.09	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $69.40 / $138.80	Professional		$69.40	$69.40	$138.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $69.14 / $156.34	Facility		$69.14	$69.14	$156.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $136.02 / $229.62	Professional		$76.76	$136.02	$229.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $509.10	Facility		$55.00	$55.00	$509.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $1,072.34 / $1,126.65	Professional		$619.00	$1,072.34	$1,126.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $128.30 / $241.96	Facility		$69.95	$128.30	$241.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $141.68 / $232.31	Professional		$88.55	$141.68	$232.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $141.38 / $262.50	Professional		$76.97	$141.38	$262.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $128.13 / $239.59	Facility		$69.95	$128.13	$239.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $140.32 / $248.85	Professional		$79.28	$140.32	$248.85
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 $99.88 / $134.72 / $216.78	Professional		$99.88	$134.72	$216.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $124.43 / $174.11	Professional		$110.15	$124.43	$174.11