Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $2,124.00 / $7,513.00	Facility		$152.19	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $100.58 / $165.27	Professional		$67.94	$100.58	$165.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $112.03 / $132.46	Professional		$112.03	$112.03	$132.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $113.62 / $538.46	Facility		$63.60	$113.62	$538.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $109.27 / $158.18	Professional		$73.02	$109.27	$158.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $149.25 / $191.66	Professional		$121.42	$149.25	$191.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $80.00	Facility		$71.02	$71.02	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $131.76 / $131.76	Facility		$131.76	$131.76	$131.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $123.82 / $198.57	Professional		$83.96	$123.82	$198.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $404.80	Facility		$55.00	$55.00	$404.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $570.48 / $849.68 / $1,003.73	Professional		$570.48	$849.68	$1,003.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $114.81 / $185.96	Facility		$77.29	$114.81	$185.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $143.80 / $205.54	Professional		$100.50	$143.80	$205.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $123.34 / $212.55	Professional		$78.48	$123.34	$212.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $115.04 / $187.62	Facility		$77.29	$115.04	$187.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $130.62 / $212.21	Professional		$85.65	$130.62	$212.21
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $110.07 / $179.80	Professional		$82.55	$110.07	$179.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $110.38 / $155.79	Professional		$98.28	$110.38	$155.79