Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.97 / $2,816.00 / $8,883.00	Facility		$87.97	$2,816.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $115.59 / $177.72	Professional		$62.18	$115.59	$177.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $98.70 / $119.79	Professional		$61.43	$98.70	$119.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,673.00 / $4,277.00	Facility		$527.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $105.36 / $199.07	Professional		$60.54	$105.36	$199.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $132.00 / $141.16	Facility		$30.94	$132.00	$141.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.67 / $61.69 / $80.00	Facility		$56.67	$61.69	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $121.65 / $219.66	Professional		$68.61	$121.65	$219.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $298.95 / $766.65	Facility		$55.00	$298.95	$766.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.84 / $2,196.87 / $3,844.84	Professional		$1,097.84	$2,196.87	$3,844.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $118.59 / $189.76	Facility		$61.69	$118.59	$189.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $154.44 / $258.76	Professional		$82.00	$154.44	$258.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $125.98 / $248.04	Professional		$66.84	$125.98	$248.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $120.21 / $203.43	Facility		$61.75	$120.21	$203.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $134.85 / $272.33	Professional		$73.01	$134.85	$272.33
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 $96.45 / $127.26 / $210.44	Professional		$96.45	$127.26	$210.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $118.59 / $167.43	Professional		$105.45	$118.59	$167.43