Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.99 / $1,390.00 / $6,021.00	Facility		$259.99	$1,390.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.05 / $247.80 / $399.26	Professional		$153.05	$247.80	$399.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $287.89 / $446.25	Professional		$130.99	$287.89	$446.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.46 / $245.40 / $988.07	Facility		$140.46	$245.40	$988.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $249.23 / $396.61	Professional		$165.30	$249.23	$396.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $158.88 / $183.72	Facility		$94.82	$158.88	$183.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $230.32 / $450.90	Professional		$115.94	$230.32	$450.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $164.75 / $258.00 / $291.47	Facility		$164.75	$258.00	$291.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $321.04 / $463.84	Professional		$207.00	$321.04	$463.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $142.00 / $1,348.50	Facility		$55.00	$142.00	$1,348.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.04 / $2,228.32 / $2,590.28	Professional		$1,429.04	$2,228.32	$2,590.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $282.43 / $415.46	Facility		$183.68	$282.43	$415.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $349.39 / $549.49	Professional		$187.12	$349.39	$549.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $285.87 / $359.76	Professional		$172.13	$285.87	$359.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $282.43 / $416.85	Facility		$183.68	$282.43	$416.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.26 / $331.87 / $527.35	Professional		$216.26	$331.87	$527.35
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 $227.32 / $308.20 / $446.90	Professional		$227.32	$308.20	$446.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.64 / $287.89 / $403.06	Professional		$255.64	$287.89	$403.06