Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.32 / $2,124.00 / $6,762.00	Facility		$285.32	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $193.73 / $308.82	Professional		$69.77	$193.73	$308.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $83.87 / $95.77	Professional		$83.87	$83.87	$95.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.85 / $1,199.29 / $2,589.55	Facility		$679.85	$1,199.29	$2,589.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $170.94 / $276.89	Professional		$66.83	$170.94	$276.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $923.65 / $2,676.06	Facility		$439.56	$923.65	$2,676.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $101.45 / $144.04	Professional		$78.67	$101.45	$144.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $66.09 / $235.88	Facility		$66.09	$66.09	$235.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $702.60 / $1,652.00	Facility		$529.61	$702.60	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $224.01 / $412.31	Professional		$84.47	$224.01	$412.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $411.50 / $11,500.00 / $12,000.00	Facility		$411.50	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.00 / $1,907.03 / $1,907.03	Professional		$1,372.00	$1,907.03	$1,907.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $213.99 / $411.11	Facility		$73.70	$213.99	$411.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $229.49 / $375.53	Professional		$91.25	$229.49	$375.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $281.83 / $594.29	Professional		$78.05	$281.83	$594.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $217.37 / $427.08	Facility		$73.70	$217.37	$427.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $230.44 / $469.96	Professional		$88.76	$230.44	$469.96
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $241.42 / $370.58	Professional		$175.16	$241.42	$370.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $208.23 / $282.93	Professional		$178.06	$208.23	$282.93