Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.82 / $2,137.85 / $6,153.00	Facility		$280.82	$2,137.85	$6,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $213.82 / $353.37	Professional		$121.30	$213.82	$353.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $208.54 / $218.99	Professional		$133.97	$208.54	$218.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $285.12 / $1,098.66	Facility		$162.19	$285.12	$1,098.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $197.25 / $306.29	Professional		$120.14	$197.25	$306.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $631.13 / $2,815.00	Facility		$253.60	$631.13	$2,815.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $202.22 / $330.00	Professional		$145.35	$202.22	$330.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $467.68 / $467.68	Facility		$124.72	$467.68	$467.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $224.98	Facility		$224.98	$224.98	$224.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $260.51 / $431.89	Professional		$146.32	$260.51	$431.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $675.07	Facility		$55.00	$55.00	$675.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.04 / $1,880.28 / $1,985.70	Professional		$977.04	$1,880.28	$1,985.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $242.70 / $390.82	Facility		$136.44	$242.70	$390.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $264.48 / $413.96	Professional		$169.04	$264.48	$413.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $265.35 / $494.97	Professional		$152.00	$265.35	$494.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $242.92 / $394.50	Facility		$136.47	$242.92	$394.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $269.12 / $463.76	Professional		$150.84	$269.12	$463.76
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $1,800.00 / $4,144.00	Facility		$410.00	$1,800.00	$4,144.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.71 / $266.02 / $418.62	Professional		$198.71	$266.02	$418.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $220.84 / $311.86	Professional		$196.28	$220.84	$311.86