Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,131.00 / $7,513.00	Facility		$474.00	$2,131.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $76.98 / $143.24	Professional		$66.91	$76.98	$143.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $71.27 / $88.17	Professional		$64.86	$71.27	$88.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $129.03 / $919.63	Facility		$77.45	$129.03	$919.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $76.59 / $120.44	Professional		$60.50	$76.59	$120.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $70.87 / $128.29	Professional		$70.87	$70.87	$128.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $64.16 / $64.16	Facility		$64.16	$64.16	$64.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $105.35 / $161.16	Professional		$75.41	$105.35	$161.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,217.50	Facility		$55.00	$55.00	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.44 / $1,995.00 / $1,995.00	Professional		$1,403.44	$1,995.00	$1,995.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $100.65 / $196.87	Facility		$72.06	$100.65	$196.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $111.35 / $131.00	Professional		$94.61	$111.35	$131.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $103.64 / $196.87	Facility		$72.31	$103.64	$196.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $106.45 / $174.51	Professional		$75.90	$106.45	$174.51
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $86.49 / $137.43	Professional		$64.67	$86.49	$137.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $71.27 / $97.83	Professional		$62.12	$71.27	$97.83