Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,124.00 / $6,762.00	Facility		$352.00	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $37.58 / $56.15	Professional		$31.48	$37.58	$56.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $29.68 / $39.90	Professional		$18.63	$29.68	$39.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.36 / $319.70 / $690.34	Facility		$171.36	$319.70	$690.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $40.52 / $57.58	Professional		$31.79	$40.52	$57.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $38.27 / $60.00	Professional		$23.64	$38.27	$60.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $29.94	Facility		$29.94	$29.94	$29.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.18 / $178.18 / $178.18	Facility		$178.18	$178.18	$178.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $47.38 / $78.83	Professional		$35.54	$47.38	$78.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,315.00	Facility		$55.00	$55.00	$1,315.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $523.40 / $578.41 / $597.51	Professional		$523.40	$578.41	$597.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $50.21 / $130.53	Facility		$34.34	$50.21	$130.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $50.98 / $59.98	Professional		$36.65	$50.98	$59.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $121.30 / $121.30	Professional		$121.30	$121.30	$121.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $50.72 / $137.21	Facility		$34.34	$50.72	$137.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $48.09 / $85.43	Professional		$36.07	$48.09	$85.43
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 $29.10 / $39.15 / $61.97	Professional		$29.10	$39.15	$61.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $32.61 / $44.96	Professional		$28.44	$32.61	$44.96