Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.52 / $2,396.00 / $7,078.00	Facility		$323.52	$2,396.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $289.05 / $475.45	Professional		$194.61	$289.05	$475.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $328.70 / $349.33	Professional		$142.12	$328.70	$349.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.44 / $790.26 / $1,754.48	Facility		$427.44	$790.26	$1,754.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $329.35 / $474.97	Professional		$213.18	$329.35	$474.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $227.54 / $2,629.36	Facility		$145.97	$227.54	$2,629.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $369.64 / $493.05	Professional		$175.56	$369.64	$493.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $194.03 / $339.61	Facility		$194.03	$194.03	$339.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $370.97 / $548.22	Professional		$246.33	$370.97	$548.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,580.34 / $16,394.00 / $16,394.00	Facility		$1,580.34	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.36 / $2,541.84 / $2,958.38	Professional		$1,673.36	$2,541.84	$2,958.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $327.94 / $487.21	Facility		$216.35	$327.94	$487.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $408.07 / $615.41	Professional		$262.94	$408.07	$615.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $319.52 / $410.47	Professional		$201.83	$319.52	$410.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $327.94 / $493.05	Facility		$216.35	$327.94	$493.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $384.72 / $623.88	Professional		$254.36	$384.72	$623.88
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,376.00	Facility		$161.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.72 / $363.63 / $521.60	Professional		$272.72	$363.63	$521.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.80 / $328.70 / $460.18	Professional		$291.80	$328.70	$460.18