Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.51 / $1,904.00 / $7,158.38	Facility		$242.51	$1,904.00	$7,158.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $170.62 / $304.97	Professional		$112.57	$170.62	$304.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $98.40 / $142.87	Professional		$84.48	$98.40	$142.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $183.56 / $697.07	Facility		$100.00	$183.56	$697.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $181.59 / $253.04	Professional		$126.83	$181.59	$253.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $775.20 / $1,437.41	Facility		$199.25	$775.20	$1,437.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $117.87 / $250.64	Professional		$82.15	$117.87	$250.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.01 / $554.95 / $554.95	Facility		$132.01	$554.95	$554.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $205.29 / $312.52	Professional		$150.30	$205.29	$312.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $773.73 / $9,102.00 / $11,500.00	Facility		$773.73	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.83 / $1,429.84 / $1,676.93	Professional		$1,095.83	$1,429.84	$1,676.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $191.04 / $273.81	Facility		$140.51	$191.04	$273.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $241.39 / $359.18	Professional		$119.00	$241.39	$359.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $185.66 / $237.52	Professional		$138.69	$185.66	$237.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $191.66 / $278.49	Facility		$140.51	$191.66	$278.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $215.70 / $350.75	Professional		$153.60	$215.70	$350.75
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 $149.47 / $201.09 / $302.26	Professional		$149.47	$201.09	$302.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $185.66 / $259.92	Professional		$164.81	$185.66	$259.92