Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.60 / $2,000.00 / $6,371.18	Facility		$226.60	$2,000.00	$6,371.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $170.04 / $243.16	Professional		$137.37	$170.04	$243.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $131.11 / $246.77	Professional		$72.73	$131.11	$246.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.15 / $1,002.51 / $2,225.69	Facility		$561.15	$1,002.51	$2,225.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $159.54 / $247.44	Professional		$125.00	$159.54	$247.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $681.19 / $3,117.11	Facility		$147.25	$681.19	$3,117.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $132.22 / $218.66	Professional		$87.34	$132.22	$218.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.72 / $542.87 / $542.87	Facility		$122.72	$542.87	$542.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $201.00 / $304.39	Professional		$150.78	$201.00	$304.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $665.24 / $12,000.00 / $12,000.00	Facility		$665.24	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $976.24 / $1,179.04 / $1,373.48	Professional		$976.24	$1,179.04	$1,373.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $194.11 / $359.85	Facility		$149.11	$194.11	$359.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $206.47 / $277.94	Professional		$170.73	$206.47	$277.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $185.26 / $336.70	Professional		$131.11	$185.26	$336.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $196.44 / $389.91	Facility		$149.11	$196.44	$389.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $209.18 / $350.74	Professional		$152.40	$209.18	$350.74
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $5,925.00	Facility		$365.00	$1,529.00	$5,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $180.38 / $288.05	Professional		$137.43	$180.38	$288.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $154.02 / $214.38	Professional		$135.55	$154.02	$214.38