Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.63 / $1,937.00 / $6,000.00	Facility		$114.63	$1,937.00	$6,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $103.63 / $172.02	Professional		$71.97	$103.63	$172.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $114.28 / $182.48	Professional		$114.28	$114.28	$182.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.99 / $202.80 / $7,770.00	Facility		$95.99	$202.80	$7,770.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $117.58 / $172.38	Professional		$75.80	$117.58	$172.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $145.97 / $807.97	Facility		$80.31	$145.97	$807.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $132.55 / $189.26	Professional		$87.02	$132.55	$189.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $83.70 / $124.10	Facility		$66.73	$83.70	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $133.37 / $204.80	Professional		$88.49	$133.37	$204.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $399.57 / $12,000.00 / $12,000.00	Facility		$399.57	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.84 / $904.80 / $1,056.08	Professional		$589.84	$904.80	$1,056.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.58 / $117.75 / $177.09	Facility		$77.58	$117.75	$177.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $152.44 / $219.51	Professional		$92.96	$152.44	$219.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $114.93 / $146.52	Professional		$67.91	$114.93	$146.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $117.75 / $178.24	Facility		$77.50	$117.75	$178.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $141.38 / $226.05	Professional		$92.85	$141.38	$226.05
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 $101.55 / $134.97 / $191.15	Professional		$101.55	$134.97	$191.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $104.08 / $164.82	Professional		$104.08	$104.08	$164.82