Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $2,107.00 / $7,316.00	Facility		$132.72	$2,107.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $82.35 / $124.12	Professional		$58.70	$82.35	$124.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $101.95 / $144.72	Professional		$93.37	$101.95	$144.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.81 / $274.33 / $599.75	Facility		$125.81	$274.33	$599.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $92.34 / $132.01	Professional		$64.97	$92.34	$132.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $116.71 / $168.07	Professional		$97.42	$116.71	$168.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $78.97 / $92.65	Facility		$57.87	$78.97	$92.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $102.60 / $153.66	Professional		$71.78	$102.60	$153.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $362.43	Facility		$55.00	$55.00	$362.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $518.64 / $723.84 / $837.00	Professional		$518.64	$723.84	$837.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $92.81 / $135.66	Facility		$66.31	$92.81	$135.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $128.75 / $174.67	Professional		$86.53	$128.75	$174.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $93.37 / $116.90	Professional		$60.33	$93.37	$116.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $92.81 / $140.06	Facility		$66.31	$92.81	$140.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $108.31 / $178.17	Professional		$74.30	$108.31	$178.17
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 $74.17 / $98.89 / $143.94	Professional		$74.17	$98.89	$143.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $93.37 / $130.72	Professional		$82.82	$93.37	$130.72