Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $1,887.45 / $6,021.00	Facility		$131.28	$1,887.45	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $104.67 / $149.37	Professional		$71.65	$104.67	$149.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $103.29	Professional		$35.90	$35.90	$103.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $79.04 / $329.07	Facility		$47.03	$79.04	$329.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $102.66 / $169.75	Professional		$70.54	$102.66	$169.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $46.97 / $112.50	Facility		$37.74	$46.97	$112.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $674.64 / $674.64	Facility		$64.78	$674.64	$674.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $72.89 / $72.89	Facility		$72.89	$72.89	$72.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $132.72 / $210.00	Professional		$88.15	$132.72	$210.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $365.80	Facility		$55.00	$55.00	$365.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $552.64 / $911.48 / $973.08	Professional		$552.64	$911.48	$973.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $122.56 / $218.65	Facility		$78.98	$122.56	$218.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $138.35 / $191.56	Professional		$95.03	$138.35	$191.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $167.10 / $167.10	Professional		$167.10	$167.10	$167.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $123.34 / $231.18	Facility		$78.98	$123.34	$231.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $135.00 / $231.90	Professional		$89.11	$135.00	$231.90
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $122.06 / $195.09	Professional		$88.77	$122.06	$195.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $103.29 / $144.03	Professional		$90.83	$103.29	$144.03