Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $1,900.00 / $6,386.00	Facility		$153.47	$1,900.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $122.66 / $195.18	Professional		$29.14	$122.66	$195.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $28.29 / $67.90	Professional		$25.74	$28.29	$67.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.41 / $370.53 / $831.95	Facility		$200.41	$370.53	$831.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $97.77 / $211.42	Professional		$28.83	$97.77	$211.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $36.78 / $59.55	Professional		$29.70	$36.78	$59.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $131.07	Facility		$25.46	$25.46	$131.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $187.01	Facility		$51.10	$51.10	$187.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $70.48 / $258.25	Professional		$34.08	$70.48	$258.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $115.42 / $244.18	Facility		$55.00	$115.42	$244.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $495.82 / $961.20 / $1,122.23	Professional		$495.82	$961.20	$1,122.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $116.17 / $240.48	Facility		$29.41	$116.17	$240.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $161.74 / $288.77	Professional		$37.43	$161.74	$288.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $84.60 / $352.20	Professional		$18.71	$84.60	$352.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $116.17 / $245.59	Facility		$29.41	$116.17	$245.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $87.78 / $306.38	Professional		$35.14	$87.78	$306.38
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $172.29 / $283.79	Professional		$130.96	$172.29	$283.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $123.35 / $175.72	Professional		$110.43	$123.35	$175.72