Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $328.14 / $1,002.90	Facility		$72.48	$328.14	$1,002.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $80.84 / $138.59	Professional		$56.24	$80.84	$138.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $91.59 / $114.90	Professional		$60.31	$91.59	$114.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $83.93 / $337.95	Facility		$49.15	$83.93	$337.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $80.09 / $112.89	Professional		$57.47	$80.09	$112.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $255.41 / $725.85	Facility		$59.91	$255.41	$725.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $75.26 / $142.40	Professional		$50.95	$75.26	$142.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $230.52 / $230.52	Facility		$57.13	$230.52	$230.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.72 / $106.72 / $106.72	Facility		$106.72	$106.72	$106.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $99.26 / $158.82	Professional		$68.15	$99.26	$158.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $323.70	Facility		$55.00	$55.00	$323.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $653.60 / $778.05	Professional		$457.92	$653.60	$778.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $90.52 / $140.00	Facility		$61.97	$90.52	$140.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $115.64 / $158.78	Professional		$81.16	$115.64	$158.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $108.41 / $211.05	Professional		$64.98	$108.41	$211.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $90.63 / $141.03	Facility		$61.97	$90.63	$141.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $103.11 / $169.91	Professional		$69.33	$103.11	$169.91
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $943.00 / $2,376.00	Facility		$161.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $92.09 / $143.40	Professional		$67.23	$92.09	$143.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $85.37 / $120.15	Professional		$75.92	$85.37	$120.15