Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.84 / $3,431.00 / $9,897.00	Facility		$136.84	$3,431.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $135.81 / $214.51	Professional		$102.90	$135.81	$214.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $138.54 / $138.54	Professional		$138.54	$138.54	$138.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.61 / $270.83 / $608.22	Facility		$143.61	$270.83	$608.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $141.43 / $228.42	Professional		$102.72	$141.43	$228.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $170.14 / $170.14	Professional		$170.14	$170.14	$170.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.57 / $151.88 / $151.88	Facility		$96.57	$151.88	$151.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $169.81 / $274.70	Professional		$120.58	$169.81	$274.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $589.33	Facility		$55.00	$55.00	$589.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $829.84 / $1,063.59 / $1,236.53	Professional		$829.84	$1,063.59	$1,236.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $154.96 / $292.07	Facility		$113.83	$154.96	$292.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $185.86 / $250.20	Professional		$144.65	$185.86	$250.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $155.43 / $292.07	Facility		$113.83	$155.43	$292.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $175.00 / $293.93	Professional		$123.28	$175.00	$293.93
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 $113.55 / $156.00 / $244.80	Professional		$113.55	$156.00	$244.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $137.35 / $193.74	Professional		$122.02	$137.35	$193.74