Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $2,496.00 / $7,542.00	Facility		$67.41	$2,496.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $42.32 / $72.22	Professional		$32.22	$42.32	$72.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $54.77 / $54.77	Professional		$54.77	$54.77	$54.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.67 / $98.46 / $212.94	Facility		$35.67	$98.46	$212.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $41.96 / $63.93	Professional		$31.40	$41.96	$63.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $44.76 / $46.55	Professional		$44.76	$44.76	$46.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $258.27 / $258.27	Facility		$29.04	$258.27	$258.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Facility		$58.29	$58.29	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $56.07 / $92.97	Professional		$37.67	$56.07	$92.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $166.06	Facility		$55.00	$55.00	$166.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.96 / $1,030.00 / $1,030.00	Professional		$248.96	$1,030.00	$1,030.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $51.23 / $86.92	Facility		$34.25	$51.23	$86.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $57.73 / $77.36	Professional		$42.89	$57.73	$77.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Professional		$97.00	$97.00	$97.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.31 / $51.82 / $87.03	Facility		$34.31	$51.82	$87.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $58.82 / $94.44	Professional		$37.67	$58.82	$94.44
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $54.04 / $87.00	Professional		$39.58	$54.04	$87.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $42.13 / $58.64	Professional		$36.99	$42.13	$58.64