Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.13 / $1,900.00 / $6,487.14	Facility		$273.13	$1,900.00	$6,487.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $235.00 / $388.73	Professional		$145.59	$235.00	$388.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $138.36 / $254.52	Professional		$118.78	$138.36	$254.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.43 / $251.42 / $976.98	Facility		$142.43	$251.42	$976.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $244.52 / $356.56	Professional		$163.59	$244.52	$356.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $93.28 / $208.84 / $1,184.57	Facility		$93.28	$208.84	$1,184.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $287.16 / $424.15	Professional		$109.98	$287.16	$424.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $250.04 / $265.37	Facility		$159.97	$250.04	$265.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.16 / $287.50 / $431.05	Professional		$196.16	$287.50	$431.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $975.51 / $9,102.00 / $11,500.00	Facility		$975.51	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.04 / $2,017.84 / $2,341.80	Professional		$1,407.04	$2,017.84	$2,341.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $259.06 / $388.13	Facility		$175.41	$259.06	$388.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $282.39 / $460.80	Professional		$158.13	$282.39	$460.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $261.05 / $333.77	Professional		$167.14	$261.05	$333.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.05 / $259.06 / $397.33	Facility		$175.05	$259.06	$397.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $301.42 / $504.62	Professional		$203.86	$301.42	$504.62
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 $216.54 / $288.72 / $431.27	Professional		$216.54	$288.72	$431.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $261.05 / $365.47	Professional		$231.34	$261.05	$365.47