Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $1,861.00 / $6,762.00	Facility		$118.56	$1,861.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $106.93 / $246.28	Professional		$65.45	$106.93	$246.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $103.48 / $107.16	Professional		$80.04	$103.48	$107.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $574.47 / $1,232.57	Facility		$279.95	$574.47	$1,232.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $90.21 / $155.49	Professional		$58.89	$90.21	$155.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $374.69 / $468.36 / $6,302.77	Facility		$374.69	$468.36	$6,302.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $70.50 / $122.71	Professional		$52.15	$70.50	$122.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $71.25 / $111.47	Facility		$62.09	$71.25	$111.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $134.29 / $228.00	Professional		$83.16	$134.29	$228.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $350.84	Facility		$55.00	$55.00	$350.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.00 / $35.08 / $35.08	Facility	AS	$33.00	$35.08	$35.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.12 / $820.00 / $930.83	Professional		$521.12	$820.00	$930.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $110.89 / $204.69	Facility		$69.13	$110.89	$204.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $141.04 / $199.15	Professional		$88.15	$141.04	$199.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $26.89	Facility		$20.68	$20.68	$26.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $110.73 / $208.46	Facility		$69.13	$110.73	$208.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $139.57 / $237.37	Professional		$87.74	$139.57	$237.37
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 $103.07 / $139.44 / $202.30	Professional		$103.07	$139.44	$202.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $103.48 / $144.47	Professional		$91.38	$103.48	$144.47