Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.73 / $2,131.69 / $6,762.00	Facility		$224.73	$2,131.69	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $144.10 / $230.40	Professional		$100.26	$144.10	$230.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Professional		$181.86	$181.86	$181.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.72 / $156.30 / $613.09	Facility		$88.72	$156.30	$613.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $156.05 / $231.40	Professional		$108.60	$156.05	$231.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $1,030.73 / $2,936.00	Facility		$36.00	$1,030.73	$2,936.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $112.78 / $225.56	Professional		$112.78	$112.78	$225.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.53 / $1,327.55 / $1,327.55	Facility		$112.53	$1,327.55	$1,327.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $178.37 / $261.06	Professional		$126.12	$178.37	$261.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $607.29	Facility		$55.00	$55.00	$607.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $867.04 / $1,222.56 / $1,426.05	Professional		$867.04	$1,222.56	$1,426.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $157.57 / $232.09	Facility		$111.45	$157.57	$232.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $226.33 / $321.64	Professional		$145.56	$226.33	$321.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $163.41 / $204.54	Professional		$114.81	$163.41	$204.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $157.57 / $232.13	Facility		$111.45	$157.57	$232.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $186.79 / $300.29	Professional		$129.28	$186.79	$300.29
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $171.91 / $248.13	Professional		$128.93	$171.91	$248.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $158.32 / $221.65	Professional		$140.52	$158.32	$221.65