Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.57 / $1,766.00 / $5,933.00	Facility		$207.57	$1,766.00	$5,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $187.86 / $296.26	Professional		$132.18	$187.86	$296.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $153.47 / $252.97	Professional		$129.72	$153.47	$252.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $270.83 / $661.83	Facility		$140.51	$270.83	$661.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $179.45 / $274.42	Professional		$125.89	$179.45	$274.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $198.61 / $255.86 / $727.17	Facility		$198.61	$255.86	$727.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $207.57 / $359.10	Professional		$136.22	$207.57	$359.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.71 / $202.72 / $202.72	Facility		$124.71	$202.72	$202.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $178.18 / $1,652.00	Facility		$150.36	$178.18	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $217.73 / $363.02	Professional		$145.82	$217.73	$363.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $943.62 / $11,500.00 / $12,000.00	Facility		$943.62	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $993.28 / $1,382.24 / $1,626.15	Professional		$993.28	$1,382.24	$1,626.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $196.72 / $328.76	Facility		$136.22	$196.72	$328.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $234.92 / $336.53	Professional		$174.51	$234.92	$336.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $232.50 / $513.60	Professional		$5.00	$232.50	$513.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $197.52 / $373.74	Facility		$136.22	$197.52	$373.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.34 / $241.52 / $427.22	Professional		$152.34	$241.52	$427.22
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $206.90 / $322.20	Professional		$153.30	$206.90	$322.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $186.45 / $252.92	Professional		$159.56	$186.45	$252.92