Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.06 / $1,500.00 / $6,189.00	Facility		$143.06	$1,500.00	$6,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $120.49 / $223.74	Professional		$67.18	$120.49	$223.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $75.61 / $140.41	Professional		$64.16	$75.61	$140.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $115.02 / $484.09	Facility		$67.23	$115.02	$484.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $105.24 / $201.11	Professional		$62.06	$105.24	$201.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $226.45 / $439.59	Facility		$141.81	$226.45	$439.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $113.31 / $201.77	Professional		$67.56	$113.31	$201.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $160.47 / $160.47	Facility		$59.67	$160.47	$160.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $127.22	Facility		$127.22	$127.22	$127.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $134.88 / $223.63	Professional		$75.13	$134.88	$223.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $562.52	Facility		$55.00	$55.00	$562.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $915.84 / $1,078.20	Professional		$629.00	$915.84	$1,078.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $131.62 / $218.53	Facility		$73.56	$131.62	$218.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $161.06 / $216.81	Professional		$87.88	$161.06	$216.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $126.56 / $172.60	Professional		$62.82	$126.56	$172.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $131.62 / $227.41	Facility		$73.62	$131.62	$227.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $137.77 / $232.46	Professional		$77.43	$137.77	$232.46
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $132.25 / $209.66	Professional		$94.46	$132.25	$209.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $118.69 / $167.74	Professional		$105.74	$118.69	$167.74