Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $175.45 / $709.05	Facility		$104.19	$175.45	$709.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $133.33 / $219.35	Professional		$104.19	$133.33	$219.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $168.56 / $168.56	Professional		$139.25	$168.56	$168.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $101.25 / $399.76	Facility		$58.13	$101.25	$399.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $139.01 / $204.53	Professional		$103.65	$139.01	$204.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $109.71 / $198.35 / $1,911.60	Facility		$109.71	$198.35	$1,911.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $163.98 / $239.61	Professional		$62.58	$163.98	$239.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $98.40 / $99.69	Facility		$80.00	$98.40	$99.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $191.07 / $191.07	Facility		$191.07	$191.07	$191.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $169.18 / $266.12	Professional		$119.91	$169.18	$266.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $551.57	Facility		$55.00	$55.00	$551.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.92 / $1,070.40 / $1,221.45	Professional		$819.92	$1,070.40	$1,221.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $158.08 / $249.08	Facility		$110.98	$158.08	$249.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $190.19 / $254.63	Professional		$141.28	$190.19	$254.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $149.19 / $257.24	Professional		$108.44	$149.19	$257.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $158.59 / $254.95	Facility		$110.98	$158.59	$254.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $180.14 / $283.50	Professional		$122.82	$180.14	$283.50
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $153.57 / $239.26	Professional		$115.46	$153.57	$239.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $138.43 / $193.09	Professional		$121.75	$138.43	$193.09