Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $2,080.00 / $6,762.00	Facility		$103.82	$2,080.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $82.95 / $126.16	Professional		$61.05	$82.95	$126.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $74.95 / $91.62	Professional		$32.45	$74.95	$91.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $73.44 / $267.36	Facility		$43.13	$73.44	$267.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $79.39 / $122.46	Professional		$62.48	$79.39	$122.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $48.25 / $67.05	Professional		$38.26	$48.25	$67.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $401.98 / $401.98	Facility		$59.09	$401.98	$401.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $58.54 / $60.45	Facility		$58.54	$58.54	$60.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $92.73 / $141.19	Professional		$68.78	$92.73	$141.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $475.08	Facility		$55.00	$55.00	$475.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $505.68 / $596.32 / $677.63	Professional		$505.68	$596.32	$677.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $90.98 / $135.03	Facility		$68.89	$90.98	$135.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $100.44 / $134.72	Professional		$73.66	$100.44	$134.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $80.75 / $123.47	Professional		$63.53	$80.75	$123.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.51 / $91.06 / $139.32	Facility		$68.51	$91.06	$139.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $94.63 / $143.18	Professional		$70.31	$94.63	$143.18
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $83.83 / $124.02	Professional		$63.07	$83.83	$124.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $76.51 / $107.55	Professional		$67.64	$76.51	$107.55