Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $583.04 / $5,178.00	Facility		$89.20	$583.04	$5,178.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $91.06 / $190.17	Professional		$50.58	$91.06	$190.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $82.61 / $121.45	Professional		$43.12	$82.61	$121.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $267.33 / $592.33	Facility		$124.06	$267.33	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $91.55 / $175.92	Professional		$52.57	$91.55	$175.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $201.31 / $335.84	Facility		$56.39	$201.31	$335.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $75.26 / $122.82	Professional		$55.63	$75.26	$122.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $56.46 / $133.74	Facility		$56.32	$56.46	$133.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $115.41 / $194.50	Professional		$61.39	$115.41	$194.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $407.88	Facility		$55.00	$55.00	$407.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $923.60 / $968.48	Professional		$499.00	$923.60	$968.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.96 / $112.14 / $265.45	Facility		$55.96	$112.14	$265.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $113.86 / $206.37	Professional		$66.78	$113.86	$206.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $465.00 / $638.00	Facility		$364.00	$465.00	$638.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $117.48 / $224.50	Professional		$61.46	$117.48	$224.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.96 / $109.22 / $201.84	Facility		$55.96	$109.22	$201.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $118.84 / $213.59	Professional		$63.76	$118.84	$213.59
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 $85.53 / $114.04 / $185.09	Professional		$85.53	$114.04	$185.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $106.80 / $149.52	Professional		$94.69	$106.80	$149.52