Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.04 / $629.21 / $4,121.00	Facility		$91.04	$629.21	$4,121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $91.06 / $187.83	Professional		$47.32	$91.06	$187.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $52.88 / $119.28	Professional		$40.90	$52.88	$119.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $279.57 / $621.74	Facility		$143.28	$279.57	$621.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $89.02 / $143.99	Professional		$49.07	$89.02	$143.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $1,108.80	Facility		$26.64	$26.64	$1,108.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $83.02 / $178.23	Professional		$52.79	$83.02	$178.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $52.84 / $133.76	Facility		$52.84	$52.84	$133.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $118.10 / $196.02	Professional		$61.88	$118.10	$196.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $384.54	Facility		$55.00	$55.00	$384.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $918.11 / $952.05	Professional		$499.00	$918.11	$952.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $109.03 / $224.00	Facility		$52.74	$109.03	$224.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $109.01 / $196.22	Professional		$67.53	$109.01	$196.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $1,883.43 / $3,226.56	Facility		$1,302.00	$1,883.43	$3,226.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $115.32 / $226.20	Professional		$58.31	$115.32	$226.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $105.52 / $197.80	Facility		$52.74	$105.52	$197.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $118.16 / $205.89	Professional		$63.29	$118.16	$205.89
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 $85.26 / $115.69 / $184.77	Professional		$85.26	$115.69	$184.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $104.84 / $146.78	Professional		$93.04	$104.84	$146.78