Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $2,020.00 / $6,762.00	Facility		$137.32	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $122.00 / $200.23	Professional		$73.87	$122.00	$200.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $155.44 / $214.61	Professional		$89.12	$155.44	$214.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $253.42 / $590.59	Facility		$134.54	$253.42	$590.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $118.86 / $189.14	Professional		$73.25	$118.86	$189.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $201.31 / $261.20	Facility		$164.30	$201.31	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $82.85 / $221.52	Professional		$47.97	$82.85	$221.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $87.75 / $137.44	Facility		$72.89	$87.75	$137.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $146.97 / $222.80	Professional		$90.52	$146.97	$222.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $449.45	Facility		$55.00	$55.00	$449.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $1,074.00 / $1,247.18	Professional		$644.55	$1,074.00	$1,247.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $130.53 / $199.38	Facility		$82.07	$130.53	$199.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $169.23 / $255.68	Professional		$100.92	$169.23	$255.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $138.44 / $172.42	Professional		$76.09	$138.44	$172.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $130.61 / $201.46	Facility		$82.07	$130.61	$201.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $152.77 / $255.60	Professional		$94.64	$152.77	$255.60
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 $111.09 / $148.12 / $220.49	Professional		$111.09	$148.12	$220.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $138.44 / $193.83	Professional		$123.13	$138.44	$193.83