Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $1,379.73 / $5,469.00	Facility		$284.39	$1,379.73	$5,469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $261.31 / $420.17	Professional		$170.94	$261.31	$420.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $292.93 / $571.21	Professional		$153.27	$292.93	$571.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $239.61 / $960.63	Facility		$142.08	$239.61	$960.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $254.32 / $404.70	Professional		$161.44	$254.32	$404.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $96.52 / $160.44 / $185.51	Facility		$96.52	$160.44	$185.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $179.95 / $349.84	Professional		$111.82	$179.95	$349.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.96 / $258.52 / $298.54	Facility		$168.96	$258.52	$298.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.35 / $328.72 / $472.66	Professional		$211.35	$328.72	$472.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,401.12	Facility		$55.00	$55.00	$1,401.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.64 / $2,265.84 / $2,635.95	Professional		$1,454.64	$2,265.84	$2,635.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.19 / $290.39 / $422.50	Facility		$187.19	$290.39	$422.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $357.41 / $517.99	Professional		$189.00	$357.41	$517.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $292.52 / $365.87	Professional		$176.53	$292.52	$365.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.19 / $290.39 / $426.50	Facility		$187.19	$290.39	$426.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $341.27 / $536.22	Professional		$226.80	$341.27	$536.22
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 $234.68 / $312.89 / $453.71	Professional		$234.68	$312.89	$453.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $292.93 / $410.10	Professional		$260.05	$292.93	$410.10