Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.10 / $2,036.00 / $6,261.00	Facility		$287.10	$2,036.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $233.82 / $350.49	Professional		$157.50	$233.82	$350.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.62 / $357.62 / $357.62	Professional		$357.62	$357.62	$357.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.14 / $790.26 / $1,753.00	Facility		$449.14	$790.26	$1,753.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $277.94 / $407.49	Professional		$172.98	$277.94	$407.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $182.90 / $620.15 / $1,349.87	Facility		$182.90	$620.15	$1,349.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $206.36 / $206.36 / $309.39	Professional		$206.36	$206.36	$309.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.21 / $313.54 / $313.54	Facility		$174.21	$313.54	$313.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.01 / $308.14 / $447.81	Professional		$201.01	$308.14	$447.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $953.71 / $12,000.00 / $12,000.00	Facility		$953.71	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.00 / $2,147.76 / $2,525.85	Professional		$1,370.00	$2,147.76	$2,525.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.06 / $270.49 / $400.71	Facility		$177.06	$270.49	$400.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $363.09 / $540.27	Professional		$231.28	$363.09	$540.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $327.82 / $651.65	Professional		$193.08	$327.82	$651.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.06 / $270.80 / $402.33	Facility		$177.06	$270.80	$402.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $316.29 / $516.66	Professional		$207.00	$316.29	$516.66
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 $221.00 / $302.39 / $438.40	Professional		$221.00	$302.39	$438.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.91 / $279.08 / $390.73	Professional		$247.91	$279.08	$390.73