Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.75 / $2,124.00 / $7,316.00	Facility		$316.75	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $251.44 / $368.73	Professional		$176.00	$251.44	$368.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $146.88 / $214.78	Professional		$126.59	$146.88	$214.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $265.87 / $1,038.32	Facility		$147.53	$265.87	$1,038.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $264.97 / $378.29	Professional		$177.27	$264.97	$378.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $1,558.22 / $3,572.91	Facility		$139.22	$1,558.22	$3,572.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $247.46 / $443.42	Professional		$113.84	$247.46	$443.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $1,330.94 / $1,330.94	Facility		$174.07	$1,330.94	$1,330.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $308.54 / $464.39	Professional		$212.35	$308.54	$464.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.44 / $9,102.00 / $11,500.00	Facility		$1,435.44	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.64 / $2,138.56 / $2,486.03	Professional		$1,520.64	$2,138.56	$2,486.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $276.98 / $415.71	Facility		$196.27	$276.98	$415.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $379.03 / $571.67	Professional		$239.03	$379.03	$571.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.87 / $280.02 / $358.81	Professional		$181.87	$280.02	$358.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $276.98 / $424.96	Facility		$196.27	$276.98	$424.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $323.70 / $534.69	Professional		$221.09	$323.70	$534.69
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,697.00 / $4,090.00	Facility		$438.00	$1,697.00	$4,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $307.48 / $467.68	Professional		$231.10	$307.48	$467.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $277.14 / $388.00	Professional		$245.42	$277.14	$388.00