Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.98 / $2,496.00 / $7,495.00	Facility		$344.98	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.82 / $273.87 / $422.07	Professional		$193.82	$273.87	$422.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $258.76 / $296.00	Professional		$156.88	$258.76	$296.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $275.87 / $1,075.77	Facility		$151.86	$275.87	$1,075.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $290.56 / $419.04	Professional		$207.46	$290.56	$419.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $167.26 / $4,826.68	Facility		$62.50	$167.26	$4,826.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $306.30 / $342.33 / $452.88	Professional		$306.30	$342.33	$452.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $189.48 / $320.49 / $320.49	Facility		$189.48	$320.49	$320.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $331.18 / $514.97	Professional		$230.70	$331.18	$514.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,560.84 / $9,102.00 / $11,500.00	Facility		$1,560.84	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.44 / $2,278.96 / $2,657.70	Professional		$1,651.44	$2,278.96	$2,657.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $304.77 / $455.03	Facility		$213.31	$304.77	$455.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $412.73 / $570.96	Professional		$277.38	$412.73	$570.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $303.50 / $384.43	Professional		$197.97	$303.50	$384.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $304.12 / $457.85	Facility		$213.31	$304.12	$457.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.59 / $347.86 / $572.63	Professional		$241.59	$347.86	$572.63
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 $245.70 / $326.97 / $496.45	Professional		$245.70	$326.97	$496.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.99 / $296.00 / $414.40	Professional		$261.99	$296.00	$414.40