Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.43 / $2,124.00 / $7,316.00	Facility		$229.43	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $165.02 / $258.89	Professional		$106.89	$165.02	$258.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $180.50 / $351.98	Professional		$180.50	$180.50	$351.98
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 $112.00 / $178.22 / $254.82	Professional		$112.00	$178.22	$254.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $180.73 / $201.31 / $261.20	Facility		$180.73	$201.31	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $144.40 / $221.64	Professional		$103.10	$144.40	$221.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.58 / $163.15 / $180.00	Facility		$100.58	$163.15	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $198.40 / $296.24	Professional		$126.72	$198.40	$296.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $620.02	Facility		$55.00	$55.00	$620.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $897.20 / $1,400.56 / $1,616.93	Professional		$897.20	$1,400.56	$1,616.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $177.77 / $262.67	Facility		$115.12	$177.77	$262.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $238.72 / $348.95	Professional		$149.19	$238.72	$348.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $175.44 / $224.94	Professional		$105.02	$175.44	$224.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $178.48 / $268.82	Facility		$115.12	$178.48	$268.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $206.18 / $339.26	Professional		$133.27	$206.18	$339.26
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 $147.52 / $196.69 / $290.55	Professional		$147.52	$196.69	$290.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $180.50 / $252.70	Professional		$160.12	$180.50	$252.70