Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.12 / $1,761.81 / $6,008.50	Facility		$253.12	$1,761.81	$6,008.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $80.70 / $139.15	Professional		$36.39	$80.70	$139.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $82.27 / $96.29	Professional		$82.27	$82.27	$96.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.16 / $110.69 / $446.31	Facility		$70.16	$110.69	$446.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $83.31 / $157.41	Professional		$38.97	$83.31	$157.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $112.28 / $454.18	Facility		$41.88	$112.28	$454.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $463.57 / $463.57	Facility		$35.96	$463.57	$463.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.55 / $90.55 / $90.55	Facility		$90.55	$90.55	$90.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $108.48 / $190.62	Professional		$49.37	$108.48	$190.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $204.06	Facility		$55.00	$55.00	$204.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $697.68 / $816.83	Professional		$435.00	$697.68	$816.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $94.92 / $187.04	Facility		$40.98	$94.92	$187.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $122.37 / $169.43	Professional		$53.40	$122.37	$169.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $101.90 / $129.53	Professional		$41.15	$101.90	$129.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $96.09 / $188.43	Facility		$40.98	$96.09	$188.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $115.60 / $194.02	Professional		$50.30	$115.60	$194.02
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $120.10 / $190.81	Professional		$87.95	$120.10	$190.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $90.40 / $127.43	Professional		$80.34	$90.40	$127.43