Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $971.42 / $6,912.50	Facility		$101.50	$971.42	$6,912.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $102.20 / $169.31	Professional		$75.34	$102.20	$169.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.57 / $244.57 / $244.57	Professional		$244.57	$244.57	$244.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $101.81 / $263.64	Facility		$55.94	$101.81	$263.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $100.25 / $155.91	Professional		$73.95	$100.25	$155.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $78.44 / $107.71	Facility		$78.44	$78.44	$107.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $111.07 / $194.65	Professional		$95.67	$111.07	$194.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $106.38 / $106.38	Facility		$70.15	$106.38	$106.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $134.08 / $134.08	Facility		$134.08	$134.08	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $128.32 / $220.50	Professional		$88.18	$128.32	$220.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $403.09	Facility		$55.00	$55.00	$403.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $586.40 / $864.30 / $1,045.14	Professional		$586.40	$864.30	$1,045.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $119.84 / $199.48	Facility		$80.77	$119.84	$199.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $135.29 / $180.71	Professional		$100.50	$135.29	$180.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $129.62 / $216.75	Professional		$87.53	$129.62	$216.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $121.24 / $200.01	Facility		$80.77	$121.24	$200.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $133.94 / $220.50	Professional		$90.12	$133.94	$220.50
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $121.01 / $189.76	Professional		$83.44	$121.01	$189.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $97.87 / $137.40	Professional		$86.41	$97.87	$137.40