Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $2,068.00 / $6,762.00	Facility		$61.30	$2,068.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $46.53 / $77.83	Professional		$36.96	$46.53	$77.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $58.25 / $58.25	Professional		$58.25	$58.25	$58.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $3,017.00 / $4,353.00	Facility		$1,845.00	$3,017.00	$4,353.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $49.34 / $79.09	Professional		$36.63	$49.34	$79.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $657.90 / $5,069.04	Facility		$39.51	$657.90	$5,069.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $54.25 / $84.91	Professional		$54.25	$54.25	$84.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $34.83 / $34.83	Facility		$34.83	$34.83	$34.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $60.11 / $95.32	Professional		$43.02	$60.11	$95.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $193.94	Facility		$55.00	$55.00	$193.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $389.19 / $420.90	Professional		$289.52	$389.19	$420.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.10 / $56.60 / $104.91	Facility		$41.10	$56.60	$104.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $64.58 / $84.91	Professional		$50.88	$64.58	$84.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $55.69 / $62.23	Professional		$41.71	$55.69	$62.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.10 / $57.01 / $109.82	Facility		$41.10	$57.01	$109.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $63.01 / $104.64	Professional		$43.64	$63.01	$104.64
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,376.00	Facility		$157.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $55.32 / $88.50	Professional		$40.40	$55.32	$88.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $47.17 / $65.34	Professional		$41.41	$47.17	$65.34