Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $443.54 / $1,084.88	Facility		$80.84	$443.54	$1,084.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $88.04 / $154.77	Professional		$62.36	$88.04	$154.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $93.80 / $162.83	Professional		$65.06	$93.80	$162.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $90.41 / $362.06	Facility		$54.24	$90.41	$362.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $90.34 / $136.07	Professional		$63.12	$90.34	$136.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $208.16 / $518.62	Facility		$102.99	$208.16	$518.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $110.62 / $154.77	Professional		$74.34	$110.62	$154.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $245.50 / $245.50	Facility		$62.67	$245.50	$245.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $115.28 / $115.28	Facility		$115.28	$115.28	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $109.40 / $176.92	Professional		$73.70	$109.40	$176.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $348.89	Facility		$55.00	$55.00	$348.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $495.76 / $720.00 / $852.00	Professional		$495.76	$720.00	$852.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $99.06 / $152.43	Facility		$68.75	$99.06	$152.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $125.14 / $173.23	Professional		$87.46	$125.14	$173.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $117.44 / $233.93	Professional		$70.08	$117.44	$233.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $100.23 / $156.28	Facility		$68.75	$100.23	$156.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $113.60 / $186.88	Professional		$76.47	$113.60	$186.88
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 $75.48 / $99.65 / $157.16	Professional		$75.48	$99.65	$157.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $93.80 / $132.04	Professional		$83.38	$93.80	$132.04