Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.06 / $2,107.00 / $6,762.00	Facility		$204.06	$2,107.00	$6,762.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.26 / $88.50 / $117.43	Facility	52	$57.26	$88.50	$117.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $171.12 / $253.36	Professional		$114.51	$171.12	$253.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $125.82	Professional		$125.82	$125.82	$125.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.30 / $728.84 / $1,586.55	Facility		$437.30	$728.84	$1,586.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $161.15 / $275.01	Professional		$105.81	$161.15	$275.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $532.79 / $4,100.00	Facility		$110.62	$532.79	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $158.86 / $158.86 / $158.86	Professional		$158.86	$158.86	$158.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $432.17 / $432.17	Facility		$99.84	$432.17	$432.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.93 / $391.93 / $391.93	Facility		$391.93	$391.93	$391.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $198.22 / $324.72	Professional		$127.81	$198.22	$324.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.86 / $12,000.00 / $12,000.00	Facility		$923.86	$12,000.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $421.46 / $460.86 / $460.86	Facility	52	$421.46	$460.86	$460.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,231.73 / $1,432.95	Professional		$960.00	$1,231.73	$1,432.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $199.28 / $369.03	Facility		$122.68	$199.28	$369.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $209.38 / $289.82	Professional		$146.34	$209.38	$289.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $162.97 / $231.75	Professional		$101.09	$162.97	$231.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $204.23 / $383.24	Facility		$123.21	$204.23	$383.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $204.06 / $352.26	Professional		$129.15	$204.06	$352.26
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 $140.90 / $193.73 / $299.39	Professional		$140.90	$193.73	$299.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $159.69 / $224.05	Professional		$141.34	$159.69	$224.05