Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.79 / $2,474.00 / $7,316.00	Facility		$82.79	$2,474.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $82.41 / $150.22	Professional		$41.40	$82.41	$150.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $99.33 / $99.33	Professional		$99.33	$99.33	$99.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $138.25 / $382.00	Facility		$66.40	$138.25	$382.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $73.81 / $122.06	Professional		$41.86	$73.81	$122.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $94.62 / $104.97	Professional		$85.63	$94.62	$104.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $258.11 / $258.11	Facility		$38.97	$258.11	$258.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $101.98 / $215.54	Professional		$50.26	$101.98	$215.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $222.59	Facility		$55.00	$55.00	$222.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $377.40 / $888.72	Professional		$350.26	$377.40	$888.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $85.81 / $172.24	Facility		$44.29	$85.81	$172.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $82.42 / $158.78	Professional		$57.60	$82.42	$158.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $149.50 / $150.00	Professional		$149.50	$149.50	$150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $87.34 / $176.21	Facility		$44.31	$87.34	$176.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $102.49 / $215.62	Professional		$51.35	$102.49	$215.62
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $931.00 / $2,376.00	Facility		$161.00	$931.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $126.67 / $206.82	Professional		$86.81	$126.67	$206.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $85.63 / $120.51	Professional		$75.92	$85.63	$120.51