Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $2,090.00 / $7,316.00	Facility		$256.39	$2,090.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $178.15 / $305.70	Professional		$108.90	$178.15	$305.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $197.23 / $242.19	Professional		$49.13	$197.23	$242.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.79 / $188.45 / $582.86	Facility		$118.79	$188.45	$582.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $183.47 / $277.31	Professional		$104.04	$183.47	$277.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $236.68 / $349.06	Professional		$134.03	$236.68	$349.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $105.52 / $224.34	Facility		$105.52	$105.52	$224.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.97 / $206.16 / $1,652.00	Facility		$173.97	$206.16	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $216.92 / $365.42	Professional		$124.99	$216.92	$365.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $800.04	Facility		$55.00	$55.00	$800.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $1,518.88 / $1,792.13	Professional		$822.16	$1,518.88	$1,792.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.67 / $186.72 / $318.80	Facility		$110.67	$186.72	$318.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $226.29 / $370.30	Professional		$144.65	$226.29	$370.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $220.90 / $398.23	Professional		$117.55	$220.90	$398.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $189.27 / $335.28	Facility		$110.87	$189.27	$335.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $236.84 / $439.36	Professional		$130.50	$236.84	$439.36
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $203.91 / $327.68	Professional		$148.71	$203.91	$327.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $205.13 / $278.37	Professional		$175.58	$205.13	$278.37