Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $1,797.75 / $6,762.00	Facility		$171.15	$1,797.75	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $148.83 / $256.83	Professional		$88.06	$148.83	$256.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Professional		$90.90	$90.90	$90.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.94 / $755.47 / $1,684.90	Facility		$342.94	$755.47	$1,684.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $170.55 / $253.16	Professional		$101.27	$170.55	$253.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $399.28 / $13,393.20	Facility		$110.47	$399.28	$13,393.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $153.37 / $178.31	Facility		$101.50	$153.37	$178.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $196.44 / $305.14	Professional		$124.45	$196.44	$305.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $553.38	Facility		$55.00	$55.00	$553.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $1,331.92 / $1,545.75	Professional		$978.00	$1,331.92	$1,545.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $170.90 / $291.31	Facility		$103.35	$170.90	$291.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $213.48 / $332.72	Professional		$133.43	$213.48	$332.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $189.06 / $260.08	Professional		$113.19	$189.06	$260.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $170.90 / $291.31	Facility		$103.35	$170.90	$291.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $206.57 / $343.75	Professional		$130.06	$206.57	$343.75
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 $150.22 / $200.30 / $291.69	Professional		$150.22	$200.30	$291.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $171.87 / $240.62	Professional		$152.66	$171.87	$240.62