Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.58 / $2,335.00 / $7,078.00	Facility		$291.58	$2,335.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $189.37 / $267.47	Professional		$118.37	$189.37	$267.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $216.84 / $256.62	Professional		$183.30	$216.84	$256.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $173.74 / $712.93	Facility		$106.20	$173.74	$712.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $159.82 / $265.01	Professional		$96.05	$159.82	$265.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $225.00 / $442.99	Facility		$114.35	$225.00	$442.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $219.71 / $329.94	Professional		$183.30	$219.71	$329.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $359.17 / $359.17	Facility		$101.83	$359.17	$359.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.58 / $174.58 / $174.58	Facility		$174.58	$174.58	$174.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $223.02 / $380.01	Professional		$132.28	$223.02	$380.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $978.46	Facility		$55.00	$55.00	$978.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $1,793.11 / $1,793.11	Professional		$1,619.00	$1,793.11	$1,793.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $226.41 / $455.20	Facility		$127.12	$226.41	$455.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $247.68 / $342.94	Professional		$151.80	$247.68	$342.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $195.04 / $278.50	Professional		$107.14	$195.04	$278.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.88 / $229.17 / $510.86	Facility		$127.88	$229.17	$510.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $229.27 / $392.42	Professional		$137.05	$229.27	$392.42
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $226.18 / $345.87	Professional		$163.63	$226.18	$345.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.60 / $183.30 / $257.92	Professional		$162.60	$183.30	$257.92