Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $3,715.35 / $12,022.64	Facility		$138.04	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $354.81	Professional		$67.61	$125.89	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $134.90	Professional		$85.11	$114.82	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $537.03	Facility		$74.13	$123.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $154.88	Professional		$56.23	$100.00	$154.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $64.57 / $257.04	Facility		$58.88	$64.57	$257.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $177.83	Professional		$46.77	$95.50	$177.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $114.82	Facility		$54.95	$56.23	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $204.17	Professional		$74.13	$125.89	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,023.29	Professional		$891.25	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $2,511.89	Facility		$66.07	$125.89	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $239.88	Professional		$67.61	$123.03	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $117.49 / $186.21	Facility		$63.10	$117.49	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $208.93	Professional		$77.62	$128.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $162.18	Professional		$61.66	$102.33	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82