Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $67.61	Professional		$32.36	$40.74	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $512.86	Facility		$43.65	$75.86	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $66.07	Professional		$38.02	$47.86	$66.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $89.13	Professional		$39.81	$54.95	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $363.08	Professional		$288.40	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $4,073.80	Facility		$38.02	$63.10	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $66.07	Professional		$32.36	$47.86	$66.07
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 $83.18 / $91.20 / $102.33	Professional		$83.18	$91.20	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $53.70 / $93.33	Facility		$35.48	$53.70	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $87.10	Professional		$40.74	$56.23	$87.10
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 $35.48 / $47.86 / $74.13	Professional		$35.48	$47.86	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $38.90	Professional		$35.48	$38.90	$38.90