Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.64 / $2,020.00 / $6,668.25	Facility		$238.64	$2,020.00	$6,668.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $184.50 / $256.05	Professional		$147.81	$184.50	$256.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $147.12 / $180.71	Professional		$128.29	$147.12	$180.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.54 / $1,002.51 / $2,137.42	Facility		$548.54	$1,002.51	$2,137.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $181.47 / $282.01	Professional		$143.56	$181.47	$282.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $211.85 / $309.13	Professional		$173.31	$211.85	$309.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $779.53 / $779.53	Facility		$144.47	$779.53	$779.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $236.30 / $368.20	Professional		$168.89	$236.30	$368.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $769.79	Facility		$55.00	$55.00	$769.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.56 / $1,313.04 / $1,525.28	Professional		$1,124.56	$1,313.04	$1,525.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.38 / $212.25 / $393.77	Facility		$156.38	$212.25	$393.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $249.25 / $317.89	Professional		$196.38	$249.25	$317.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $181.21 / $266.10	Professional		$146.08	$181.21	$266.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.38 / $219.09 / $411.37	Facility		$156.38	$219.09	$411.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $239.66 / $388.55	Professional		$171.52	$239.66	$388.55
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $209.61 / $323.94	Professional		$152.44	$209.61	$323.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $171.27 / $238.49	Professional		$150.72	$171.27	$238.49