Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.69 / $1,964.00 / $6,762.00	Facility		$328.69	$1,964.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $285.79 / $447.01	Professional		$188.24	$285.79	$447.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $153.13 / $153.13	Professional		$145.60	$153.13	$153.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $245.40 / $988.07	Facility		$138.85	$245.40	$988.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $331.78 / $482.94	Professional		$196.99	$331.78	$482.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $343.02 / $404.77 / $525.21	Facility		$343.02	$404.77	$525.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $386.68 / $570.26	Professional		$120.54	$386.68	$570.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $178.22 / $178.22 / $345.07	Facility		$178.22	$178.22	$345.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.65 / $355.90 / $540.44	Professional		$227.65	$355.90	$540.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,510.50	Facility		$55.00	$55.00	$1,510.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.32 / $2,603.76 / $3,032.18	Professional		$1,568.32	$2,603.76	$3,032.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.14 / $314.37 / $486.07	Facility		$202.14	$314.37	$486.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $390.47 / $630.55	Professional		$209.93	$390.47	$630.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $336.55 / $420.69	Professional		$191.28	$336.55	$420.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.14 / $314.37 / $488.75	Facility		$202.14	$314.37	$488.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.70 / $374.31 / $616.37	Professional		$232.70	$374.31	$616.37
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 $270.29 / $360.39 / $550.01	Professional		$270.29	$360.39	$550.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $336.55 / $471.17	Professional		$298.98	$336.55	$471.17