Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.50 / $2,020.00 / $6,762.00	Facility		$188.50	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $149.97 / $224.69	Professional		$109.72	$149.97	$224.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.34 / $152.56 / $152.56	Professional		$151.34	$152.56	$152.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $588.80 / $7,206.00	Facility		$226.53	$588.80	$7,206.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $156.13 / $235.24	Professional		$113.58	$156.13	$235.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $452.58 / $1,555.85	Facility		$122.37	$452.58	$1,555.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $159.04 / $247.42	Professional		$120.60	$159.04	$247.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $164.78 / $164.78	Facility		$100.72	$164.78	$164.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $188.97 / $283.61	Professional		$134.12	$188.97	$283.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $611.47 / $12,000.00 / $12,000.00	Facility		$611.47	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $902.48 / $1,212.64 / $1,402.43	Professional		$902.48	$1,212.64	$1,402.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $159.84 / $243.65	Facility		$117.92	$159.84	$243.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $204.33 / $301.83	Professional		$150.81	$204.33	$301.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $157.55 / $198.97	Professional		$102.58	$157.55	$198.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $159.84 / $244.67	Facility		$117.92	$159.84	$244.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $198.77 / $310.91	Professional		$141.38	$198.77	$310.91
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 $136.41 / $179.73 / $268.50	Professional		$136.41	$179.73	$268.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $157.55 / $219.98	Professional		$138.86	$157.55	$219.98