Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $1,222.00 / $5,469.00	Facility		$57.94	$1,222.00	$5,469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $44.47 / $81.34	Professional		$24.87	$44.47	$81.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $43.79 / $50.36	Professional		$41.22	$43.79	$50.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $172.27 / $389.24	Facility		$92.68	$172.27	$389.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $40.71 / $68.95	Professional		$23.21	$40.71	$68.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $184.71 / $398.94	Facility		$12.34	$184.71	$398.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $61.13 / $94.08	Professional		$23.69	$61.13	$94.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $64.27 / $64.27	Facility		$21.76	$64.27	$64.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $50.70 / $95.79	Professional		$28.92	$50.70	$95.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $121.27	Facility		$55.00	$55.00	$121.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $427.97 / $440.80	Professional		$263.00	$427.97	$440.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $48.08 / $108.00	Facility		$26.17	$48.08	$108.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $49.41 / $76.86	Professional		$31.54	$49.41	$76.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $34.20	Professional		$34.20	$34.20	$34.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $48.08 / $112.25	Facility		$26.17	$48.08	$112.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $51.83 / $98.57	Professional		$29.27	$51.83	$98.57
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $57.70 / $90.46	Professional		$41.19	$57.70	$90.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $41.22 / $57.79	Professional		$36.44	$41.22	$57.79