Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $1,861.00 / $6,261.00	Facility		$179.04	$1,861.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $141.15 / $247.37	Professional		$92.73	$141.15	$247.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $174.89	Professional		$129.47	$129.47	$174.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $108.99 / $450.55	Facility		$62.28	$108.99	$450.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $141.71 / $220.92	Professional		$93.13	$141.71	$220.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $128.05	Professional		$81.81	$81.81	$128.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $87.63 / $87.63	Facility		$87.63	$87.63	$87.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $111.91 / $111.91	Facility		$111.91	$111.91	$111.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $167.01 / $276.62	Professional		$109.32	$167.01	$276.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $486.54	Facility		$55.00	$55.00	$486.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $1,090.16 / $1,276.20	Professional		$722.72	$1,090.16	$1,276.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $157.04 / $267.38	Facility		$104.72	$157.04	$267.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $191.33 / $257.57	Professional		$126.57	$191.33	$257.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $166.94 / $184.93	Professional		$105.17	$166.94	$184.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $157.79 / $287.13	Facility		$104.72	$157.79	$287.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $174.84 / $285.92	Professional		$110.57	$174.84	$285.92
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 $112.87 / $156.59 / $251.14	Professional		$112.87	$156.59	$251.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $142.27 / $198.76	Professional		$125.61	$142.27	$198.76