Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $2,124.00 / $7,316.00	Facility		$207.33	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $175.71 / $260.91	Professional		$119.25	$175.71	$260.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $175.22 / $195.77	Professional		$175.22	$175.22	$195.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $191.83 / $777.48	Facility		$113.07	$191.83	$777.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $189.91 / $271.50	Professional		$125.31	$189.91	$271.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $218.92 / $261.20	Facility		$170.83	$218.92	$261.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $200.69 / $317.70	Professional		$73.48	$200.69	$317.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.81 / $131.97 / $192.28	Facility		$111.81	$131.97	$192.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $211.30 / $330.91	Professional		$141.28	$211.30	$330.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $941.76	Facility		$55.00	$55.00	$941.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.44 / $1,492.88 / $1,721.93	Professional		$1,001.44	$1,492.88	$1,721.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $191.54 / $287.72	Facility		$128.44	$191.54	$287.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $249.88 / $371.81	Professional		$166.59	$249.88	$371.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $192.55 / $239.83	Professional		$116.68	$192.55	$239.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $191.54 / $288.83	Facility		$128.44	$191.54	$288.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $221.91 / $364.24	Professional		$149.08	$221.91	$364.24
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 $157.53 / $210.04 / $319.47	Professional		$157.53	$210.04	$319.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $192.55 / $269.57	Professional		$170.61	$192.55	$269.57