Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $2,157.00 / $5,921.80	Facility		$298.75	$2,157.00	$5,921.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $183.08 / $280.35	Professional		$82.94	$183.08	$280.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $83.85 / $83.85	Professional		$83.85	$83.85	$83.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.51 / $969.92 / $2,122.83	Facility		$518.51	$969.92	$2,122.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $200.65 / $369.03	Professional		$90.04	$200.65	$369.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $97.04 / $405.92 / $2,999.64	Facility		$97.04	$405.92	$2,999.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $123.78 / $123.78	Facility		$82.37	$123.78	$123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $256.08 / $424.07	Professional		$113.41	$256.08	$424.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $472.15	Facility		$55.00	$55.00	$472.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $896.63 / $1,731.84 / $1,999.35	Professional		$896.63	$1,731.84	$1,999.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $213.27 / $406.64	Facility		$93.75	$213.27	$406.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $255.11 / $417.46	Professional		$121.94	$255.11	$417.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $311.74 / $318.89	Professional		$114.74	$311.74	$318.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $215.94 / $457.06	Facility		$93.75	$215.94	$457.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $264.61 / $436.47	Professional		$114.96	$264.61	$436.47
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $264.12 / $427.62	Professional		$188.66	$264.12	$427.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $222.67 / $314.67	Professional		$197.94	$222.67	$314.67