Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.48 / $2,124.00 / $6,762.00	Facility		$283.48	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $202.65 / $280.24	Professional		$120.20	$202.65	$280.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $115.77 / $115.77	Professional		$115.77	$115.77	$115.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $247.92 / $991.68	Facility		$142.60	$247.92	$991.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $200.29 / $336.93	Professional		$114.17	$200.29	$336.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $288.87 / $288.87 / $288.87	Professional		$288.87	$288.87	$288.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $111.58	Facility		$111.58	$111.58	$111.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.44 / $228.44 / $228.44	Facility		$228.44	$228.44	$228.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $226.86 / $387.15	Professional		$134.87	$226.86	$387.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $847.38	Facility		$55.00	$55.00	$847.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $894.48 / $1,545.84 / $1,807.35	Professional		$894.48	$1,545.84	$1,807.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $209.20 / $376.58	Facility		$121.95	$209.20	$376.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $229.14 / $374.96	Professional		$156.01	$229.14	$374.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $202.50 / $202.50	Professional		$202.50	$202.50	$202.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $211.52 / $398.17	Facility		$121.95	$211.52	$398.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $239.39 / $404.54	Professional		$140.78	$239.39	$404.54
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $226.66 / $364.29	Professional		$168.01	$226.66	$364.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $199.22 / $282.51	Professional		$177.79	$199.22	$282.51