Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.56 / $1,978.00 / $6,386.00	Facility		$152.56	$1,978.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $92.31 / $157.29	Professional		$62.98	$92.31	$157.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $108.20 / $108.20	Professional		$98.47	$108.20	$108.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $758.04 / $3,989.00	Facility		$226.53	$758.04	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $107.73 / $157.94	Professional		$65.59	$107.73	$157.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $200.00 / $4,100.00	Facility		$69.80	$200.00	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $113.12 / $173.12	Professional		$74.31	$113.12	$173.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $116.44	Facility		$58.78	$58.78	$116.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $121.43 / $182.50	Professional		$77.81	$121.43	$182.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.13 / $12,000.00 / $12,000.00	Facility		$348.13	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $830.32 / $974.93	Professional		$512.96	$830.32	$974.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $105.13 / $160.72	Facility		$67.38	$105.13	$160.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $132.51 / $202.03	Professional		$81.20	$132.51	$202.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $104.27 / $136.53	Professional		$59.84	$104.27	$136.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $105.13 / $161.66	Facility		$67.38	$105.13	$161.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $125.80 / $208.16	Professional		$81.06	$125.80	$208.16
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 $92.84 / $123.79 / $175.29	Professional		$92.84	$123.79	$175.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $108.20 / $151.47	Professional		$95.79	$108.20	$151.47