Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $7,585.78	Facility		$575.44	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $354.81	Professional		$66.07	$87.10	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $102.33	Professional		$64.57	$74.13	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $794.33	Facility		$77.62	$128.82	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $114.82	Professional		$61.66	$72.44	$114.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $151.36	Professional		$70.79	$102.33	$151.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $169.82	Professional		$74.13	$102.33	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,995.26	Professional		$1,412.54	$1,412.54	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $162.18 / $3,890.45	Facility		$72.44	$162.18	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $194.98	Professional		$67.61	$93.33	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $165.96 / $186.21	Professional		$66.07	$165.96	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $181.97	Facility		$66.07	$102.33	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $162.18	Professional		$74.13	$104.71	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18