Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.19 / $1,904.00 / $6,021.00	Facility		$181.19	$1,904.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $137.63 / $270.00	Professional		$85.16	$137.63	$270.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $86.96 / $170.29	Professional		$77.48	$86.96	$170.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.25 / $166.94 / $641.27	Facility		$94.25	$166.94	$641.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $146.97 / $219.82	Professional		$98.33	$146.97	$219.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $712.80 / $1,117.51	Facility		$91.35	$712.80	$1,117.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $124.70 / $188.45	Professional		$85.83	$124.70	$188.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $566.54 / $566.54	Facility		$99.93	$566.54	$566.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $174.79 / $270.02	Professional		$117.49	$174.79	$270.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $596.13 / $9,102.00 / $11,500.00	Facility		$596.13	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $846.32 / $1,240.00 / $1,445.48	Professional		$846.32	$1,240.00	$1,445.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.64 / $159.22 / $235.26	Facility		$108.64	$159.22	$235.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $170.31 / $283.75	Professional		$98.47	$170.31	$283.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $159.97 / $201.01	Professional		$104.41	$159.97	$201.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.64 / $159.22 / $236.62	Facility		$108.64	$159.22	$236.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $183.62 / $304.39	Professional		$121.59	$183.62	$304.39
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $172.27 / $251.34	Professional		$129.15	$172.27	$251.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $160.24 / $224.34	Professional		$142.44	$160.24	$224.34