Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.05 / $3,431.00 / $10,234.00	Facility		$116.05	$3,431.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $116.05 / $176.14	Professional		$89.37	$116.05	$176.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $53.86 / $207.18	Professional		$47.45	$53.86	$207.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.69 / $570.84 / $1,232.57	Facility		$272.69	$570.84	$1,232.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $115.71 / $170.65	Professional		$91.42	$115.71	$170.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $129.26 / $199.28	Professional		$111.74	$129.26	$199.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.83 / $83.83 / $117.46	Facility		$83.83	$83.83	$117.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $132.02 / $210.19	Professional		$97.73	$132.02	$210.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $691.86	Facility		$55.00	$55.00	$691.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $818.01 / $1,073.61 / $2,278.08	Professional		$818.01	$1,073.61	$2,278.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $134.09 / $261.01	Facility		$93.56	$134.09	$261.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $144.65 / $178.03	Professional		$107.46	$144.65	$178.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $113.69 / $174.08	Professional		$89.86	$113.69	$174.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.78 / $135.02 / $262.68	Facility		$94.78	$135.02	$262.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $137.03 / $210.92	Professional		$100.67	$137.03	$210.92
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $118.37 / $173.48	Professional		$89.47	$118.37	$173.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $107.72 / $150.85	Professional		$94.97	$107.72	$150.85