Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.25 / $2,243.96 / $6,875.86	Facility		$432.25	$2,243.96	$6,875.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $273.32 / $471.72	Professional		$195.99	$273.32	$471.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $273.64 / $466.09	Professional		$150.35	$273.64	$466.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.79 / $2,154.98 / $4,337.42	Facility		$1,262.79	$2,154.98	$4,337.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.11 / $291.94 / $408.81	Professional		$221.11	$291.94	$408.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $655.16 / $2,250.00	Facility		$356.80	$655.16	$2,250.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $179.27 / $248.08	Professional		$150.35	$179.27	$248.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $222.14 / $1,401.05 / $1,401.05	Facility		$222.14	$1,401.05	$1,401.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.37 / $333.95 / $507.37	Professional		$246.37	$333.95	$507.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.29 / $16,394.00 / $16,394.00	Facility		$1,253.29	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,298.64 / $2,716.73	Professional		$1,800.00	$2,298.64	$2,716.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.08 / $307.49 / $441.04	Facility		$226.08	$307.49	$441.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.82 / $402.96 / $579.99	Professional		$236.82	$402.96	$579.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $309.35 / $392.43	Professional		$230.91	$309.35	$392.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.40 / $307.87 / $448.58	Facility		$224.40	$307.87	$448.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $351.74 / $569.13	Professional		$253.40	$351.74	$569.13
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 $243.80 / $325.07 / $477.02	Professional		$243.80	$325.07	$477.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $300.70 / $420.89	Professional		$266.13	$300.70	$420.89