Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,019.95 / $12,302.69	Facility		$537.03	$3,019.95	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $407.38	Professional		$147.91	$204.17	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $549.54	Professional		$229.09	$331.13	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $7,943.28	Facility		$2,570.40	$5,011.87	$7,943.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $338.84	Professional		$165.96	$218.78	$338.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $1,000.00	Professional		$169.82	$213.80	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,819.70	Professional		$1,513.56	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $5,370.32	Facility		$194.98	$436.52	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $416.87	Professional		$151.36	$204.17	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $426.58	Facility		$173.78	$263.03	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $1,000.00	Professional		$204.17	$363.08	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $549.54	Professional		$138.04	$204.17	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $245.47	Professional		$218.78	$245.47	$245.47