Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $1,964.00 / $7,513.00	Facility		$153.44	$1,964.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $104.26 / $177.65	Professional		$45.89	$104.26	$177.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $110.79 / $155.44	Professional		$56.76	$110.79	$155.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $142.22 / $576.44	Facility		$83.09	$142.22	$576.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $105.36 / $182.16	Professional		$44.24	$105.36	$182.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $144.83 / $175.84	Professional		$119.98	$144.83	$175.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.14 / $225.54 / $225.54	Facility		$44.14	$225.54	$225.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.25 / $136.97 / $1,652.00	Facility		$103.25	$136.97	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $124.76 / $225.07	Professional		$54.37	$124.76	$225.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $279.95 / $415.00	Facility		$55.00	$279.95	$415.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $927.20 / $1,093.43	Professional		$486.60	$927.20	$1,093.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.64 / $97.82 / $184.51	Facility		$45.64	$97.82	$184.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $144.33 / $224.25	Professional		$61.40	$144.33	$224.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $132.24 / $287.75	Professional		$48.90	$132.24	$287.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $99.68 / $189.93	Facility		$45.68	$99.68	$189.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $132.88 / $279.11	Professional		$57.38	$132.88	$279.11
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,513.00 / $3,260.00	Facility		$371.00	$1,513.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $128.97 / $203.26	Professional		$95.28	$128.97	$203.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $125.19 / $170.02	Professional		$107.11	$125.19	$170.02