Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $116.56 / $166.96	Facility		$74.36	$116.56	$166.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.09 / $90.24	Professional		$74.36	$75.09	$90.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $104.23 / $104.23	Professional		$104.23	$104.23	$104.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $150.54 / $296.81	Facility		$59.48	$150.54	$296.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $76.16 / $76.16	Professional		$76.16	$76.16	$76.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $72.04 / $5,733.90	Facility		$72.04	$72.04	$5,733.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $81.80 / $111.68	Professional		$72.04	$81.80	$111.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,082.96 / $4,082.96 / $4,082.96	Facility		$4,082.96	$4,082.96	$4,082.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $74.36 / $74.36	Facility		$70.15	$74.36	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $366.85 / $371.80	Facility		$97.60	$366.85	$371.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.31 / $1,209.31 / $1,209.31	Professional		$1,209.31	$1,209.31	$1,209.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.45 / $123.79	Facility		$74.36	$74.45	$123.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.84 / $122.69	Professional		$74.36	$75.84	$122.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $83.14 / $143.00	Professional		$74.30	$83.14	$143.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $126.71	Facility		$74.36	$74.36	$126.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $90.05	Professional		$74.36	$74.36	$90.05
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.81 / $82.78	Professional		$74.36	$78.81	$82.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $74.36 / $104.10	Professional		$72.91	$74.36	$104.10