Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $1,922.00 / $6,386.00	Facility		$189.95	$1,922.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $149.78 / $266.05	Professional		$99.78	$149.78	$266.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $138.30 / $187.28	Professional		$138.30	$138.30	$187.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $113.53 / $472.65	Facility		$64.80	$113.53	$472.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $150.06 / $239.61	Professional		$99.94	$150.06	$239.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $271.55 / $301.72 / $2,903.25	Facility		$271.55	$301.72	$2,903.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $94.83 / $94.83	Facility		$94.83	$94.83	$94.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $117.48 / $117.48	Facility		$117.48	$117.48	$117.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $177.47 / $290.69	Professional		$117.48	$177.47	$290.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $527.11	Facility		$55.00	$55.00	$527.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.92 / $1,161.28 / $1,366.43	Professional		$781.92	$1,161.28	$1,366.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $167.18 / $284.30	Facility		$112.47	$167.18	$284.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $204.36 / $275.10	Professional		$137.50	$204.36	$275.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $178.42 / $197.56	Professional		$113.81	$178.42	$197.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $168.34 / $307.60	Facility		$112.47	$168.34	$307.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $186.00 / $303.95	Professional		$119.95	$186.00	$303.95
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,667.00	Facility		$161.00	$1,058.00	$2,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $162.01 / $266.30	Professional		$120.35	$162.01	$266.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $151.97 / $212.13	Professional		$134.16	$151.97	$212.13