Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.90 / $1,426.32 / $5,872.00	Facility		$255.90	$1,426.32	$5,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $232.33 / $392.60	Professional		$148.63	$232.33	$392.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $277.43 / $405.67	Professional		$227.90	$277.43	$405.67
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 $143.63 / $228.62 / $363.80	Professional		$143.63	$228.62	$363.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $163.32 / $418.77	Facility		$96.06	$163.32	$418.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $287.89 / $444.94	Professional		$181.19	$287.89	$444.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $163.16 / $269.81	Facility		$145.83	$163.16	$269.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $288.45 / $424.25	Professional		$179.15	$288.45	$424.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,191.11	Facility		$55.00	$55.00	$1,191.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.04 / $2,025.52 / $2,361.98	Professional		$1,231.04	$2,025.52	$2,361.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $251.78 / $379.45	Facility		$158.84	$251.78	$379.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $314.64 / $463.56	Professional		$206.21	$314.64	$463.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $261.73 / $328.40	Professional		$152.37	$261.73	$328.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $251.78 / $379.45	Facility		$158.84	$251.78	$379.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.48 / $304.06 / $475.19	Professional		$191.48	$304.06	$475.19
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 $207.50 / $278.97 / $404.51	Professional		$207.50	$278.97	$404.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $261.73 / $366.42	Professional		$232.72	$261.73	$366.42