Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $2,396.00 / $7,316.00	Facility		$196.56	$2,396.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $151.22 / $242.41	Professional		$100.98	$151.22	$242.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $85.81 / $315.14	Professional		$80.80	$85.81	$315.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.36 / $635.20	Facility		$93.33	$165.36	$635.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $162.71 / $230.58	Professional		$122.83	$162.71	$230.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $100.47 / $4,826.68	Facility		$32.50	$100.47	$4,826.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $109.74 / $185.85	Professional		$86.45	$109.74	$185.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $146.36 / $166.03	Facility		$116.94	$146.36	$166.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $181.15 / $277.11	Professional		$134.97	$181.15	$277.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $922.68 / $9,102.00 / $11,500.00	Facility		$922.68	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $974.40 / $1,251.20 / $1,454.85	Professional		$974.40	$1,251.20	$1,454.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.98 / $168.29 / $240.68	Facility		$124.98	$168.29	$240.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $215.62 / $302.76	Professional		$100.50	$215.62	$302.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $162.65 / $206.86	Professional		$122.58	$162.65	$206.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.98 / $168.38 / $242.42	Facility		$124.98	$168.38	$242.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $189.22 / $308.91	Professional		$137.11	$189.22	$308.91
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 $132.09 / $176.12 / $255.11	Professional		$132.09	$176.12	$255.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $161.61 / $226.25	Professional		$143.55	$161.61	$226.25