Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $2,000.00 / $6,762.00	Facility		$113.83	$2,000.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $92.43 / $138.47	Professional		$51.32	$92.43	$138.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $58.19 / $97.43	Professional		$58.19	$58.19	$97.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $112.60 / $441.13	Facility		$62.31	$112.60	$441.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $85.22 / $135.02	Professional		$48.32	$85.22	$135.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $450.00 / $1,495.58	Facility		$101.95	$450.00	$1,495.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $84.98 / $116.10	Professional		$49.96	$84.98	$116.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.73 / $343.56 / $343.56	Facility		$46.73	$343.56	$343.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $91.47 / $1,652.00	Facility		$77.19	$91.47	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $106.59 / $195.17	Professional		$57.77	$106.59	$195.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $371.58	Facility		$55.00	$55.00	$371.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $728.98 / $786.90	Professional		$435.00	$728.98	$786.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $97.55 / $175.20	Facility		$54.00	$97.55	$175.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $104.90 / $164.20	Professional		$66.86	$104.90	$164.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $154.40 / $264.60	Professional		$5.00	$154.40	$264.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $99.04 / $181.55	Facility		$54.00	$99.04	$181.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $117.44 / $231.72	Professional		$60.63	$117.44	$231.72
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,260.00	Facility		$369.00	$1,513.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $111.78 / $178.07	Professional		$85.17	$111.78	$178.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $91.15 / $123.74	Professional		$77.84	$91.15	$123.74