Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $1,937.00 / $6,762.00	Facility		$117.26	$1,937.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $104.31 / $163.84	Professional		$73.94	$104.31	$163.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $113.32 / $113.32	Professional		$78.27	$113.32	$113.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $110.81 / $159.80	Professional		$75.18	$110.81	$159.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $147.32 / $196.91	Professional		$100.02	$147.32	$196.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $69.02 / $80.00	Facility		$69.02	$69.02	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $138.24 / $138.24	Facility		$138.24	$138.24	$138.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $135.16 / $215.19	Professional		$89.04	$135.16	$215.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $389.60	Facility		$55.00	$55.00	$389.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $695.40 / $1,032.00	Professional		$572.88	$695.40	$1,032.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $117.84 / $195.00	Facility		$77.89	$117.84	$195.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $146.81 / $211.36	Professional		$102.61	$146.81	$211.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $133.03 / $173.70	Professional		$83.08	$133.03	$173.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $118.99 / $198.31	Facility		$78.27	$118.99	$198.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $142.52 / $228.33	Professional		$89.04	$142.52	$228.33
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 $90.68 / $120.90 / $200.35	Professional		$90.68	$120.90	$200.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $113.32 / $157.99	Professional		$100.21	$113.32	$157.99