Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.68 / $1,800.00 / $6,261.00	Facility		$143.68	$1,800.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $124.45 / $211.73	Professional		$90.57	$124.45	$211.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $166.64 / $183.09	Professional		$130.78	$166.64	$183.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $114.09 / $438.25	Facility		$72.39	$114.09	$438.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $126.52 / $183.89	Professional		$91.89	$126.52	$183.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $188.01 / $235.40	Professional		$138.87	$188.01	$235.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.23 / $308.27 / $308.27	Facility		$89.23	$308.27	$308.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $168.47 / $168.47	Facility		$168.47	$168.47	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $155.38 / $245.80	Professional		$108.14	$155.38	$245.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $500.41	Facility		$55.00	$55.00	$500.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $999.76 / $1,185.83	Professional		$718.24	$999.76	$1,185.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $142.63 / $219.27	Facility		$99.60	$142.63	$219.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $176.62 / $242.51	Professional		$127.00	$176.62	$242.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $147.18 / $254.90	Professional		$97.24	$147.18	$254.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $142.83 / $224.44	Facility		$99.60	$142.83	$224.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $163.91 / $262.70	Professional		$110.41	$163.91	$262.70
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 $104.73 / $138.99 / $223.42	Professional		$104.73	$138.99	$223.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $130.78 / $183.40	Professional		$115.95	$130.78	$183.40