Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $1,874.00 / $6,940.00	Facility		$141.61	$1,874.00	$6,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $107.01 / $181.35	Professional		$38.47	$107.01	$181.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $57.40 / $113.95	Professional		$33.09	$57.40	$113.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $147.62 / $517.12	Facility		$81.91	$147.62	$517.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $91.04 / $182.19	Professional		$32.59	$91.04	$182.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $80.19 / $226.11	Facility		$29.28	$80.19	$226.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $41.36 / $69.66	Professional		$20.00	$41.36	$69.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $264.60 / $264.60	Facility		$30.11	$264.60	$264.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $124.44	Facility		$59.84	$59.84	$124.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $112.43 / $200.39	Professional		$40.97	$112.43	$200.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $135.44 / $297.69	Facility		$55.00	$135.44	$297.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.94 / $838.40 / $973.43	Professional		$432.94	$838.40	$973.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $108.57 / $197.64	Facility		$35.32	$108.57	$197.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $143.74 / $257.95	Professional		$43.73	$143.74	$257.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $73.45 / $209.30	Professional		$21.51	$73.45	$209.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $109.82 / $202.50	Facility		$35.40	$109.82	$202.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $113.85 / $256.49	Professional		$42.63	$113.85	$256.49
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $5,925.00	Facility		$161.00	$952.00	$5,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $129.69 / $211.06	Professional		$99.32	$129.69	$211.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $107.67 / $152.82	Professional		$96.08	$107.67	$152.82