Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $1,002.00 / $7,316.00	Facility		$179.32	$1,002.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $197.93 / $315.81	Professional		$120.95	$197.93	$315.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.28 / $369.72 / $369.72	Professional		$341.28	$369.72	$369.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $173.36 / $389.24	Facility		$92.68	$173.36	$389.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $196.07 / $327.67	Professional		$116.03	$196.07	$327.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $142.02 / $217.85	Facility		$117.73	$142.02	$217.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $169.73 / $260.00	Professional		$113.76	$169.73	$260.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $111.79 / $111.79	Facility		$111.79	$111.79	$111.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $218.81 / $392.08	Professional		$128.83	$218.81	$392.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $633.60	Facility		$55.00	$55.00	$633.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $877.12 / $1,483.12 / $1,746.08	Professional		$877.12	$1,483.12	$1,746.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $213.82 / $389.94	Facility		$119.42	$213.82	$389.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $220.61 / $350.96	Professional		$153.91	$220.61	$350.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $170.30 / $170.30	Professional		$170.30	$170.30	$170.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $214.34 / $401.12	Facility		$119.42	$214.34	$401.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $234.18 / $397.74	Professional		$131.30	$234.18	$397.74
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 $158.10 / $224.77 / $344.62	Professional		$158.10	$224.77	$344.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $191.40 / $271.92	Professional		$171.16	$191.40	$271.92