Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $2,128.00 / $6,691.00	Facility		$298.42	$2,128.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $189.58 / $302.62	Professional		$131.50	$189.58	$302.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $112.56 / $199.54	Professional		$95.81	$112.56	$199.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.60 / $2,178.05 / $4,238.91	Facility		$1,221.60	$2,178.05	$4,238.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $208.54 / $287.54	Professional		$151.13	$208.54	$287.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1,418.29 / $4,544.72	Facility		$0.90	$1,418.29	$4,544.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $252.17 / $370.23	Professional		$121.08	$252.17	$370.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,330.94 / $1,330.94	Facility		$147.91	$1,330.94	$1,330.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $231.87 / $342.33	Professional		$165.32	$231.87	$342.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $845.60 / $12,000.00 / $12,000.00	Facility		$845.60	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.00 / $1,617.12 / $1,906.13	Professional		$1,202.00	$1,617.12	$1,906.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $212.26 / $309.42	Facility		$154.66	$212.26	$309.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $260.32 / $394.18	Professional		$129.19	$260.32	$394.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $210.84 / $271.02	Professional		$154.05	$210.84	$271.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $213.28 / $322.50	Facility		$154.66	$213.28	$322.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $243.24 / $397.72	Professional		$168.84	$243.24	$397.72
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 $171.61 / $228.81 / $331.77	Professional		$171.61	$228.81	$331.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $210.57 / $294.80	Professional		$186.90	$210.57	$294.80