Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $884.00 / $5,235.00	Facility		$60.02	$884.00	$5,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $66.09 / $118.14	Professional		$47.06	$66.09	$118.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $64.95 / $98.78	Professional		$57.99	$64.95	$98.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $270.32 / $592.33	Facility		$111.83	$270.32	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $63.50 / $103.39	Professional		$47.68	$63.50	$103.39
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Facility		$52.29	$52.29	$52.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $54.17 / $105.15	Professional		$30.87	$54.17	$105.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $52.12 / $63.47	Facility		$46.47	$52.12	$63.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $73.98 / $119.95	Professional		$54.73	$73.98	$119.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $286.43	Facility		$55.00	$55.00	$286.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $495.76 / $570.90	Professional		$115.52	$495.76	$570.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $67.83 / $106.70	Facility		$50.75	$67.83	$106.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $82.89 / $119.55	Professional		$47.75	$82.89	$119.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $63.99 / $80.86	Professional		$48.55	$63.99	$80.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $67.83 / $106.84	Facility		$50.75	$67.83	$106.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $77.36 / $133.54	Professional		$57.08	$77.36	$133.54
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 $50.76 / $70.11 / $103.09	Professional		$50.76	$70.11	$103.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $63.73 / $89.22	Professional		$56.59	$63.73	$89.22