Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $803.00 / $5,225.00	Facility		$95.62	$803.00	$5,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $85.33 / $172.36	Professional		$42.71	$85.33	$172.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $136.57 / $207.44	Professional		$82.29	$136.57	$207.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.32 / $263.83 / $592.33	Facility		$115.32	$263.83	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $89.65 / $146.97	Professional		$45.32	$89.65	$146.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $99.30 / $4,826.68	Facility		$55.25	$99.30	$4,826.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $122.34 / $175.53	Professional		$103.99	$122.34	$175.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $143.83 / $143.83	Facility		$48.13	$143.83	$143.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $101.24 / $164.50	Professional		$54.63	$101.24	$164.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $264.62	Facility		$55.00	$55.00	$264.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $427.37 / $828.08 / $951.23	Professional		$427.37	$828.08	$951.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $93.54 / $145.34	Facility		$51.20	$93.54	$145.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $110.63 / $199.13	Professional		$65.09	$110.63	$199.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $113.63 / $155.68	Professional		$53.42	$113.63	$155.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $92.64 / $145.11	Facility		$51.20	$92.64	$145.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $104.74 / $178.73	Professional		$57.44	$104.74	$178.73
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $111.71 / $157.00	Professional		$80.20	$111.71	$157.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $106.38 / $148.93	Professional		$94.42	$106.38	$148.93