Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.33 / $1,899.00 / $6,261.00	Facility		$201.33	$1,899.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $148.72 / $259.27	Professional		$66.41	$148.72	$259.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $133.66 / $176.46	Professional		$67.40	$133.66	$176.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $150.22 / $298.13	Professional		$68.86	$150.22	$298.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.30 / $143.63	Facility		$72.44	$134.30	$143.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $261.69 / $386.69	Professional		$184.90	$261.69	$386.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $100.76 / $100.76	Facility		$60.81	$100.76	$100.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.14 / $175.03 / $324.48	Professional		$81.14	$175.03	$324.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $350.79 / $520.12	Facility		$55.00	$350.79	$520.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $749.52 / $1,614.94 / $2,613.80	Professional		$749.52	$1,614.94	$2,613.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $173.11 / $307.95	Facility		$68.63	$173.11	$307.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $239.27 / $419.50	Professional		$90.83	$239.27	$419.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $326.00 / $541.90	Professional		$27.40	$326.00	$541.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $175.04 / $315.13	Facility		$68.70	$175.04	$315.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $192.11 / $411.75	Professional		$83.52	$192.11	$411.75
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $194.40 / $322.10	Professional		$147.18	$194.40	$322.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $176.46 / $249.62	Professional		$157.08	$176.46	$249.62