Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.78 / $2,017.00 / $6,762.00	Facility		$175.78	$2,017.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $136.21 / $207.97	Professional		$73.94	$136.21	$207.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $137.97 / $137.97	Professional		$137.97	$137.97	$137.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $102.07 / $427.85	Facility		$62.22	$102.07	$427.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $134.58 / $228.05	Professional		$69.62	$134.58	$228.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $174.25 / $174.25	Professional		$147.18	$174.25	$174.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $132.06 / $132.06	Facility		$66.50	$132.06	$132.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.30 / $122.30 / $122.30	Facility		$122.30	$122.30	$122.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $155.60 / $260.70	Professional		$86.95	$155.60	$260.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $368.93	Facility		$55.00	$55.00	$368.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $561.29 / $1,067.35 / $1,237.28	Professional		$561.29	$1,067.35	$1,237.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $153.80 / $279.61	Facility		$76.40	$153.80	$279.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $157.63 / $250.78	Professional		$95.46	$157.63	$250.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $172.10 / $172.10	Professional		$172.10	$172.10	$172.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $154.33 / $288.26	Facility		$77.09	$154.33	$288.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $160.52 / $270.42	Professional		$87.20	$160.52	$270.42
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 $110.23 / $155.60 / $244.19	Professional		$110.23	$155.60	$244.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $137.97 / $194.09	Professional		$122.29	$137.97	$194.09