Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.62 / $2,783.00 / $7,729.70	Facility		$329.62	$2,783.00	$7,729.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $236.74 / $348.40	Professional		$154.09	$236.74	$348.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $106.10 / $106.10	Professional		$106.10	$106.10	$106.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.24 / $2,246.06 / $4,849.77	Facility		$1,273.24	$2,246.06	$4,849.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $234.26 / $390.43	Professional		$146.66	$234.26	$390.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $732.73 / $2,133.69	Facility		$317.00	$732.73	$2,133.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $109.89 / $109.89	Professional		$89.35	$109.89	$109.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $1,148.20 / $1,148.20	Facility		$135.04	$1,148.20	$1,148.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.19 / $279.06 / $461.38	Professional		$173.19	$279.06	$461.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.63 / $12,000.00 / $12,000.00	Facility		$1,274.63	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.00 / $1,796.00 / $2,100.60	Professional		$1,319.00	$1,796.00	$2,100.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.66 / $269.32 / $467.32	Facility		$166.66	$269.32	$467.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $289.39 / $436.10	Professional		$202.27	$289.39	$436.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $249.06 / $326.89	Professional		$142.79	$249.06	$326.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $272.11 / $538.50	Facility		$166.73	$272.11	$538.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $286.42 / $503.12	Professional		$177.66	$286.42	$503.12
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $285.76 / $453.51	Professional		$206.43	$285.76	$453.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $233.49 / $327.60	Professional		$206.78	$233.49	$327.60