Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.78 / $2,229.00 / $6,246.00	Facility		$352.78	$2,229.00	$6,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $310.07 / $531.23	Professional		$182.48	$310.07	$531.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $328.00 / $383.33	Professional		$180.22	$328.00	$383.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.14 / $514.41 / $1,140.65	Facility		$297.14	$514.41	$1,140.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $359.20 / $526.63	Professional		$221.53	$359.20	$526.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $235.55 / $440.20 / $1,681.81	Facility		$235.55	$440.20	$1,681.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $384.20 / $594.73	Professional		$131.68	$384.20	$594.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $233.74 / $368.53	Facility		$200.20	$233.74	$368.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.10 / $405.88 / $599.16	Professional		$263.10	$405.88	$599.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,658.40 / $16,394.00 / $16,394.00	Facility		$1,658.40	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,757.92 / $2,783.84 / $3,241.28	Professional		$1,757.92	$2,783.84	$3,241.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.94 / $358.49 / $530.45	Facility		$226.94	$358.49	$530.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $437.99 / $636.77	Professional		$235.48	$437.99	$636.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $350.63 / $448.81	Professional		$206.64	$350.63	$448.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.94 / $358.49 / $536.15	Facility		$226.94	$358.49	$536.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.80 / $420.55 / $687.27	Professional		$274.80	$420.55	$687.27
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 $299.75 / $399.67 / $574.02	Professional		$299.75	$399.67	$574.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $360.44 / $504.62	Professional		$319.68	$360.44	$504.62