Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.78 / $2,229.00 / $7,495.00	Facility		$369.78	$2,229.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $346.67 / $556.67	Professional		$220.30	$346.67	$556.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $231.77 / $349.10	Professional		$122.49	$231.77	$349.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.51 / $393.56 / $1,461.40	Facility		$233.51	$393.56	$1,461.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $344.74 / $493.36	Professional		$221.53	$344.74	$493.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $328.77 / $4,000.00	Facility		$112.94	$328.77	$4,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $291.02 / $558.55	Professional		$132.88	$291.02	$558.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $225.77 / $225.78	Facility		$80.00	$225.77	$225.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $410.50 / $410.50	Facility		$410.50	$410.50	$410.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $413.49 / $679.78	Professional		$262.25	$413.49	$679.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.28 / $9,102.00 / $11,500.00	Facility		$1,149.28	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.96 / $2,713.84 / $3,123.45	Professional		$1,792.96	$2,713.84	$3,123.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.25 / $381.50 / $591.14	Facility		$239.25	$381.50	$591.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.58 / $442.81 / $653.27	Professional		$297.58	$442.81	$653.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $454.96 / $871.74	Professional		$266.77	$454.96	$871.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.25 / $381.73 / $593.25	Facility		$239.25	$381.73	$593.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $434.88 / $729.83	Professional		$265.39	$434.88	$729.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $7,600.00	Facility		$1,154.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.45 / $404.11 / $641.04	Professional		$302.45	$404.11	$641.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.75 / $349.10 / $492.29	Professional		$309.75	$349.10	$492.29