Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.33 / $1,928.83 / $6,386.00	Facility		$196.33	$1,928.83	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $166.51 / $260.26	Professional		$111.11	$166.51	$260.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $90.33 / $178.01	Professional		$82.20	$90.33	$178.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $180.21 / $692.91	Facility		$100.00	$180.21	$692.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $177.61 / $247.51	Professional		$124.83	$177.61	$247.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $676.66 / $924.92	Facility		$197.18	$676.66	$924.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $138.21 / $292.19	Professional		$96.48	$138.21	$292.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $176.83 / $185.76	Facility		$128.44	$176.83	$185.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $203.95 / $308.13	Professional		$149.47	$203.95	$308.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.52 / $9,102.00 / $11,500.00	Facility		$1,019.52	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.24 / $1,395.92 / $1,627.43	Professional		$1,076.24	$1,395.92	$1,627.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $187.86 / $270.99	Facility		$137.94	$187.86	$270.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $238.57 / $349.55	Professional		$116.50	$238.57	$349.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $181.93 / $230.93	Professional		$134.69	$181.93	$230.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $187.89 / $271.76	Facility		$137.94	$187.89	$271.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $213.09 / $345.87	Professional		$150.99	$213.09	$345.87
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 $146.97 / $195.97 / $285.72	Professional		$146.97	$195.97	$285.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $180.66 / $252.92	Professional		$160.38	$180.66	$252.92