Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.14 / $2,019.43 / $6,752.00	Facility		$208.14	$2,019.43	$6,752.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $178.96 / $337.54	Professional		$112.47	$178.96	$337.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $145.88 / $217.71	Professional		$112.83	$145.88	$217.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.44 / $770.38 / $1,684.90	Facility		$427.44	$770.38	$1,684.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $193.83 / $295.22	Professional		$136.13	$193.83	$295.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $292.18 / $689.74 / $3,340.96	Facility		$292.18	$689.74	$3,340.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $167.76 / $219.78 / $348.34	Professional		$167.76	$219.78	$348.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.74 / $573.16 / $573.16	Facility		$135.74	$573.16	$573.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $69.00 / $75.00	Facility		$69.00	$69.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $244.24 / $377.90	Professional		$156.09	$244.24	$377.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.66 / $16,394.00 / $16,394.00	Facility		$1,047.66	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,669.92 / $1,955.40	Professional		$1,130.00	$1,669.92	$1,955.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $224.62 / $341.48	Facility		$145.08	$224.62	$341.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $281.83 / $405.83	Professional		$186.80	$281.83	$405.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $340.00 / $2,472.75	Facility		$340.00	$340.00	$2,472.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $270.64 / $553.59	Professional		$152.87	$270.64	$553.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $224.62 / $341.48	Facility		$145.08	$224.62	$341.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $256.23 / $405.22	Professional		$164.18	$256.23	$405.22
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,142.00 / $2,827.00	Facility		$161.00	$1,142.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $239.63 / $364.48	Professional		$179.72	$239.63	$364.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $217.71 / $304.58	Professional		$192.42	$217.71	$304.58