Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.80 / $2,648.00 / $8,590.00	Facility		$388.80	$2,648.00	$8,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $366.77 / $632.98	Professional		$206.80	$366.77	$632.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $393.93 / $472.45	Professional		$196.97	$393.93	$472.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.38 / $790.26 / $1,754.48	Facility		$437.38	$790.26	$1,754.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.99 / $342.12 / $544.42	Professional		$227.99	$342.12	$544.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $607.34 / $5,887.83	Facility		$125.49	$607.34	$5,887.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $346.75 / $602.71	Professional		$225.96	$346.75	$602.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $257.62 / $400.14	Facility		$211.47	$257.62	$400.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.67 / $450.90 / $687.51	Professional		$284.67	$450.90	$687.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,766.64 / $26,542.00 / $26,542.00	Facility		$1,766.64	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.40 / $3,045.84 / $3,541.35	Professional		$1,874.40	$3,045.84	$3,541.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.88 / $393.06 / $597.66	Facility		$241.88	$393.06	$597.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.26 / $413.64 / $675.69	Professional		$247.26	$413.64	$675.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $383.03 / $490.62	Professional		$218.11	$383.03	$490.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.88 / $393.06 / $602.91	Facility		$241.88	$393.06	$602.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.18 / $465.59 / $753.47	Professional		$297.18	$465.59	$753.47
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 $331.31 / $441.84 / $649.85	Professional		$331.31	$441.84	$649.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $393.93 / $551.50	Professional		$349.50	$393.93	$551.50