Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.08 / $2,017.00 / $5,609.74	Facility		$362.08	$2,017.00	$5,609.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $303.05 / $570.86	Professional		$64.69	$303.05	$570.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $304.82 / $304.82	Professional		$65.88	$304.82	$304.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,565.00 / $3,989.00	Facility		$1,100.00	$1,565.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $275.14 / $514.91	Professional		$61.30	$275.14	$514.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $79.64 / $79.64	Facility		$64.45	$79.64	$79.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $394.75 / $879.44	Professional		$88.98	$394.75	$879.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $369.69	Facility		$55.00	$55.00	$369.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.53 / $2,606.64 / $3,055.88	Professional		$1,350.53	$2,606.64	$3,055.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $281.72 / $778.52	Facility		$72.39	$281.72	$778.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $386.77 / $615.32	Professional		$95.88	$386.77	$615.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $322.58 / $681.12	Professional		$71.25	$322.58	$681.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $298.95 / $805.50	Facility		$72.73	$298.95	$805.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $401.96 / $905.37	Professional		$89.11	$401.96	$905.37
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.08 / $561.29 / $897.12	Professional		$413.08	$561.29	$897.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $334.97 / $477.36	Professional		$300.08	$334.97	$477.36