Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.89 / $2,068.00 / $6,762.00	Facility		$281.89	$2,068.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $159.57 / $238.59	Professional		$105.98	$159.57	$238.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $179.27 / $179.27	Professional		$179.27	$179.27	$179.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $279.57 / $623.79	Facility		$148.52	$279.57	$623.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $152.93 / $241.12	Professional		$102.32	$152.93	$241.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $82.15 / $87.86	Facility		$58.65	$82.15	$87.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $120.15 / $237.86	Professional		$68.06	$120.15	$237.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $185.47 / $185.47	Facility		$99.59	$185.47	$185.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.67 / $193.95 / $289.81	Professional		$125.67	$193.95	$289.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $836.76	Facility		$55.00	$55.00	$836.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $889.60 / $1,366.80 / $1,577.85	Professional		$889.60	$1,366.80	$1,577.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $174.32 / $258.95	Facility		$114.16	$174.32	$258.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $228.85 / $329.54	Professional		$147.99	$228.85	$329.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $172.30 / $219.10	Professional		$104.02	$172.30	$219.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $175.46 / $262.13	Facility		$114.16	$175.46	$262.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $201.56 / $331.16	Professional		$132.16	$201.56	$331.16
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 $144.00 / $192.00 / $292.02	Professional		$144.00	$192.00	$292.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $176.19 / $246.67	Professional		$156.25	$176.19	$246.67