Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.07 / $1,934.00 / $6,691.00	Facility		$189.07	$1,934.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $152.58 / $249.57	Professional		$94.27	$152.58	$249.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $213.49 / $324.44	Professional		$128.94	$213.49	$324.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $274.33 / $599.75	Facility		$127.26	$274.33	$599.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $143.49 / $228.34	Professional		$92.90	$143.49	$228.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $233.23 / $341.66	Facility		$186.58	$233.23	$341.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $99.42 / $169.01	Professional		$60.34	$99.42	$169.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $122.95 / $165.71	Facility		$91.35	$122.95	$165.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $180.68 / $268.10	Professional		$114.54	$180.68	$268.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $562.26	Facility		$55.00	$55.00	$562.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $811.68 / $1,291.28 / $1,492.43	Professional		$811.68	$1,291.28	$1,492.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $162.02 / $240.94	Facility		$103.99	$162.02	$240.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $216.08 / $321.87	Professional		$120.72	$216.08	$321.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $162.93 / $207.48	Professional		$95.38	$162.93	$207.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $162.19 / $246.16	Facility		$103.99	$162.19	$246.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $188.28 / $311.13	Professional		$120.96	$188.28	$311.13
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,142.00 / $2,827.00	Facility		$161.00	$1,142.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $180.81 / $275.01	Professional		$135.61	$180.81	$275.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $166.38 / $232.93	Professional		$147.69	$166.38	$232.93