Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.95 / $2,496.00 / $6,691.00	Facility		$285.95	$2,496.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $195.36 / $303.16	Professional		$141.66	$195.36	$303.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $112.18 / $145.80	Professional		$99.48	$112.18	$145.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.47 / $2,182.42 / $4,666.84	Facility		$1,249.47	$2,182.42	$4,666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $219.45 / $311.52	Professional		$164.60	$219.45	$311.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $1,521.37 / $4,228.20	Facility		$588.72	$1,521.37	$4,228.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $140.22 / $235.57	Professional		$116.13	$140.22	$235.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $896.14 / $896.14	Facility		$160.94	$896.14	$896.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $250.83 / $378.83	Professional		$185.09	$250.83	$378.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.88 / $16,394.00 / $16,394.00	Facility		$1,256.88	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.36 / $1,723.76 / $2,022.23	Professional		$1,325.36	$1,723.76	$2,022.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $232.27 / $334.32	Facility		$170.54	$232.27	$334.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $304.10 / $433.18	Professional		$178.88	$304.10	$433.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $227.55 / $289.02	Professional		$167.92	$227.55	$289.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $232.62 / $347.42	Facility		$170.54	$232.62	$347.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.96 / $263.35 / $425.17	Professional		$186.96	$263.35	$425.17
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 $180.83 / $241.10 / $368.33	Professional		$180.83	$241.10	$368.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $224.36 / $314.10	Professional		$198.76	$224.36	$314.10