Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.64 / $2,124.00 / $7,316.00	Facility		$185.64	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $111.30 / $179.68	Professional		$75.36	$111.30	$179.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $119.87 / $119.87	Professional		$119.87	$119.87	$119.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $277.82 / $621.74	Facility		$148.52	$277.82	$621.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $129.28 / $180.21	Professional		$79.20	$129.28	$180.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $81.13 / $118.31	Professional		$65.87	$81.13	$118.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $111.19 / $131.88	Facility		$72.89	$111.19	$131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $144.90 / $220.29	Professional		$90.19	$144.90	$220.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $605.46	Facility		$55.00	$55.00	$605.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $642.16 / $1,021.52 / $1,184.93	Professional		$642.16	$1,021.52	$1,184.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $128.04 / $190.55	Facility		$81.77	$128.04	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $160.88 / $246.87	Professional		$107.15	$160.88	$246.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $131.72 / $164.88	Professional		$75.89	$131.72	$164.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $128.49 / $196.35	Facility		$81.77	$128.49	$196.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $149.46 / $251.46	Professional		$93.93	$149.46	$251.46
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 $107.31 / $142.19 / $216.27	Professional		$107.31	$142.19	$216.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $131.72 / $184.42	Professional		$117.05	$131.72	$184.42