Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $930.00 / $5,216.00	Facility		$120.86	$930.00	$5,216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $70.20 / $137.11	Professional		$32.24	$70.20	$137.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $71.44 / $78.51	Professional		$35.40	$71.44	$78.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.32 / $262.08 / $592.33	Facility		$115.32	$262.08	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $62.40 / $112.04	Professional		$33.34	$62.40	$112.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $249.78 / $1,711.65	Facility		$186.58	$249.78	$1,711.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $80.15 / $133.47	Professional		$34.61	$80.15	$133.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $78.47 / $85.14	Facility		$34.50	$78.47	$85.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $76.63 / $127.34	Professional		$38.11	$76.63	$127.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $190.19	Facility		$55.00	$55.00	$190.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.19 / $608.16 / $714.53	Professional		$319.19	$608.16	$714.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $71.78 / $113.25	Facility		$35.24	$71.78	$113.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $82.16 / $152.82	Professional		$45.69	$82.16	$152.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $639.00 / $1,955.92	Facility		$639.00	$639.00	$1,955.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $77.68 / $102.88	Professional		$35.40	$77.68	$102.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $73.02 / $113.25	Facility		$35.24	$73.02	$113.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $77.69 / $140.81	Professional		$39.24	$77.69	$140.81
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 $62.44 / $87.20 / $124.72	Professional		$62.44	$87.20	$124.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $78.51 / $109.91	Professional		$70.12	$78.51	$109.91