Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.82 / $2,485.00 / $7,542.00	Facility		$225.82	$2,485.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $187.67 / $320.88	Professional		$133.03	$187.67	$320.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $141.13 / $141.13	Professional		$141.13	$141.13	$141.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.27 / $204.24 / $773.90	Facility		$122.27	$204.24	$773.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $200.38 / $286.77	Professional		$136.13	$200.38	$286.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $349.87	Professional		$148.53	$148.53	$349.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $138.13 / $138.55	Facility		$80.00	$138.13	$138.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $249.95 / $249.95	Facility		$249.95	$249.95	$249.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $237.70 / $370.91	Professional		$159.47	$237.70	$370.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $760.52	Facility		$55.00	$55.00	$760.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.59 / $1,659.96 / $1,843.58	Professional		$1,081.59	$1,659.96	$1,843.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $212.38 / $341.27	Facility		$143.41	$212.38	$341.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $271.33 / $381.94	Professional		$189.64	$271.33	$381.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $294.39 / $299.39	Professional		$203.70	$294.39	$299.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $213.18 / $349.78	Facility		$143.41	$213.18	$349.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $248.11 / $407.60	Professional		$161.59	$248.11	$407.60
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,513.00 / $3,260.00	Facility		$374.00	$1,513.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $217.62 / $338.38	Professional		$160.11	$217.62	$338.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $203.80 / $287.14	Professional		$181.10	$203.80	$287.14