Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $3,431.00 / $10,234.00	Facility		$108.41	$3,431.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $119.35 / $181.39	Professional		$66.64	$119.35	$181.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $127.11 / $136.65	Professional		$114.00	$127.11	$136.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $114.57 / $452.60	Facility		$63.10	$114.57	$452.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $108.83 / $156.99	Professional		$63.43	$108.83	$156.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $69.12 / $138.77	Facility		$33.94	$69.12	$138.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $98.55 / $184.19	Professional		$65.36	$98.55	$184.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $56.31 / $115.27	Facility		$55.37	$56.31	$115.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $125.41 / $199.79	Professional		$73.11	$125.41	$199.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $343.05	Facility		$55.00	$55.00	$343.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $506.16 / $883.12 / $1,020.90	Professional		$506.16	$883.12	$1,020.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $113.62 / $180.12	Facility		$66.64	$113.62	$180.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $138.87 / $220.21	Professional		$84.10	$138.87	$220.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $114.00 / $167.62	Professional		$60.98	$114.00	$167.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $113.62 / $183.65	Facility		$66.64	$113.62	$183.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $131.71 / $217.59	Professional		$76.94	$131.71	$217.59
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $129.38 / $194.87	Professional		$97.52	$129.38	$194.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $114.00 / $159.60	Professional		$101.04	$114.00	$159.60