Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.02 / $2,500.00 / $7,495.00	Facility		$181.02	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $122.69 / $186.68	Professional		$93.16	$122.69	$186.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $113.14 / $119.26	Professional		$113.14	$113.14	$119.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $108.14 / $419.65	Facility		$61.71	$108.14	$419.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $126.62 / $183.33	Professional		$100.04	$126.62	$183.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $158.40 / $210.44	Professional		$117.68	$158.40	$210.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $92.69 / $122.85	Facility		$92.69	$92.69	$122.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $83.62 / $86.36	Facility		$83.62	$83.62	$86.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $141.26 / $219.20	Professional		$105.83	$141.26	$219.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $752.34	Facility		$55.00	$55.00	$752.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $799.92 / $1,001.10 / $2,058.05	Professional		$799.92	$1,001.10	$2,058.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.46 / $142.68 / $286.85	Facility		$99.46	$142.68	$286.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $152.22 / $199.05	Professional		$116.71	$152.22	$199.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $218.84 / $281.64	Professional		$106.99	$218.84	$281.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $142.68 / $288.39	Facility		$97.33	$142.68	$288.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $144.96 / $224.64	Professional		$108.30	$144.96	$224.64
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 $92.88 / $123.07 / $183.60	Professional		$92.88	$123.07	$183.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $113.14 / $158.87	Professional		$99.93	$113.14	$158.87