Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.74 / $2,000.00 / $6,691.00	Facility		$238.74	$2,000.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $193.67 / $312.23	Professional		$135.37	$193.67	$312.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $116.19 / $227.21	Professional		$97.91	$116.19	$227.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $201.07 / $794.69	Facility		$109.42	$201.07	$794.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $217.56 / $322.43	Professional		$164.91	$217.56	$322.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $323.87 / $4,000.00	Facility		$86.07	$323.87	$4,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $171.48 / $289.37	Professional		$113.95	$171.48	$289.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $155.38 / $222.92	Facility		$155.38	$155.38	$222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $243.32 / $374.91	Professional		$182.70	$243.32	$374.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.22 / $9,102.00 / $11,500.00	Facility		$1,241.22	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.24 / $1,651.36 / $1,928.03	Professional		$1,310.24	$1,651.36	$1,928.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.38 / $225.49 / $321.52	Facility		$168.38	$225.49	$321.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $290.88 / $413.92	Professional		$163.00	$290.88	$413.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.57 / $216.46 / $273.47	Professional		$162.57	$216.46	$273.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.38 / $226.18 / $328.27	Facility		$168.38	$226.18	$328.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $252.50 / $411.08	Professional		$185.29	$252.50	$411.08
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 $174.59 / $232.78 / $346.10	Professional		$174.59	$232.78	$346.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $214.35 / $300.08	Professional		$189.93	$214.35	$300.08