Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.23 / $1,140.00 / $5,542.00	Facility		$297.23	$1,140.00	$5,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $266.42 / $443.84	Professional		$161.12	$266.42	$443.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $299.17 / $366.91	Professional		$272.64	$299.17	$366.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $245.40 / $988.07	Facility		$143.69	$245.40	$988.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $244.41 / $388.94	Professional		$160.74	$244.41	$388.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $206.80 / $451.58	Facility		$91.77	$206.80	$451.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $214.36 / $423.36	Professional		$121.16	$214.36	$423.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $161.18 / $216.72 / $285.44	Facility		$161.18	$216.72	$285.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $318.30 / $472.75	Professional		$202.39	$318.30	$472.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $373.00 / $1,312.86	Facility		$55.00	$373.00	$1,312.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.92 / $2,186.80 / $2,544.00	Professional		$1,389.92	$2,186.80	$2,544.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.04 / $280.41 / $427.33	Facility		$178.04	$280.41	$427.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.41 / $357.00 / $544.50	Professional		$225.41	$357.00	$544.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $282.24 / $353.36	Professional		$168.40	$282.24	$353.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.04 / $279.60 / $423.36	Facility		$178.04	$279.60	$423.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.35 / $329.79 / $539.15	Professional		$208.35	$329.79	$539.15
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 $232.51 / $310.01 / $460.80	Professional		$232.51	$310.01	$460.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.95 / $282.24 / $395.14	Professional		$250.95	$282.24	$395.14