Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $1,964.00 / $6,691.00	Facility		$208.01	$1,964.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $165.60 / $268.35	Professional		$111.37	$165.60	$268.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $152.25 / $206.40	Professional		$152.25	$152.25	$206.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $132.56 / $464.37	Facility		$70.20	$132.56	$464.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $166.13 / $274.69	Professional		$111.69	$166.13	$274.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $129.46 / $350.00 / $1,144.65	Facility		$129.46	$350.00	$1,144.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $299.83 / $299.83	Facility		$107.20	$299.83	$299.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $128.16 / $128.16	Facility		$128.16	$128.16	$128.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $194.84 / $316.08	Professional		$131.28	$194.84	$316.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $591.71	Facility		$55.00	$55.00	$591.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $875.92 / $1,276.72 / $1,505.78	Professional		$875.92	$1,276.72	$1,505.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $183.91 / $316.14	Facility		$125.19	$183.91	$316.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $224.97 / $311.49	Professional		$154.32	$224.97	$311.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $226.80 / $226.80	Professional		$226.80	$226.80	$226.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $184.92 / $338.65	Facility		$125.19	$184.92	$338.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $205.18 / $331.04	Professional		$134.43	$205.18	$331.04
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $184.96 / $288.19	Professional		$134.32	$184.96	$288.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $167.31 / $233.43	Professional		$147.69	$167.31	$233.43