Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $2,090.00 / $7,316.00	Facility		$180.03	$2,090.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $152.24 / $232.15	Professional		$101.09	$152.24	$232.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $178.51 / $178.51	Professional		$178.51	$178.51	$178.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $170.57 / $691.32	Facility		$99.40	$170.57	$691.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $166.21 / $237.87	Professional		$108.60	$166.21	$237.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $218.92 / $284.08	Facility		$170.83	$218.92	$284.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $151.90 / $231.47	Professional		$96.86	$151.90	$231.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $163.22 / $168.04	Facility		$97.63	$163.22	$168.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $185.06 / $288.24	Professional		$122.54	$185.06	$288.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $818.22	Facility		$55.00	$55.00	$818.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $869.52 / $1,306.16 / $1,508.33	Professional		$869.52	$1,306.16	$1,508.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.29 / $167.54 / $250.30	Facility		$111.29	$167.54	$250.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $218.74 / $318.00	Professional		$144.75	$218.74	$318.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $165.56 / $209.80	Professional		$101.88	$165.56	$209.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.29 / $167.54 / $252.50	Facility		$111.29	$167.54	$252.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $193.24 / $321.32	Professional		$128.94	$193.24	$321.32
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 $137.16 / $182.61 / $277.75	Professional		$137.16	$182.61	$277.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.35 / $168.45 / $235.83	Professional		$149.35	$168.45	$235.83