Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.21 / $1,859.00 / $6,386.00	Facility		$224.21	$1,859.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $152.56 / $255.67	Professional		$86.27	$152.56	$255.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $170.74 / $240.59	Professional		$158.16	$170.74	$240.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $161.87 / $660.41	Facility		$91.80	$161.87	$660.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $135.72 / $215.98	Professional		$83.55	$135.72	$215.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $207.64 / $306.70	Facility		$95.11	$207.64	$306.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $168.25 / $263.87	Professional		$106.23	$168.25	$263.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $140.96 / $154.57	Facility		$80.78	$140.96	$154.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $171.58 / $276.64	Professional		$102.25	$171.58	$276.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $502.31	Facility		$55.00	$55.00	$502.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $1,242.41 / $1,399.80	Professional		$720.56	$1,242.41	$1,399.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $161.43 / $260.24	Facility		$92.38	$161.43	$260.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $203.24 / $303.08	Professional		$134.94	$203.24	$303.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $151.83 / $193.76	Professional		$84.59	$151.83	$193.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $161.49 / $262.41	Facility		$92.38	$161.49	$262.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $179.40 / $306.00	Professional		$106.58	$179.40	$306.00
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 $121.26 / $162.74 / $245.92	Professional		$121.26	$162.74	$245.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $155.22 / $217.31	Professional		$138.03	$155.22	$217.31