Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.97 / $1,859.00 / $5,872.00	Facility		$312.97	$1,859.00	$5,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $183.15 / $336.02	Professional		$93.58	$183.15	$336.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $96.88 / $312.51	Professional		$92.84	$96.88	$312.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.29 / $1,206.93 / $2,589.55	Facility		$649.29	$1,206.93	$2,589.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $194.66 / $304.58	Professional		$94.06	$194.66	$304.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $249.66 / $439.56 / $1,200.96	Facility		$249.66	$439.56	$1,200.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $130.16 / $231.36	Professional		$60.55	$130.16	$231.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $997.91 / $997.91	Facility		$100.45	$997.91	$997.91
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 $109.38 / $217.28 / $382.79	Professional		$109.38	$217.28	$382.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $702.78 / $11,500.00 / $12,000.00	Facility		$702.78	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $890.51 / $1,677.52 / $1,989.53	Professional		$890.51	$1,677.52	$1,989.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.62 / $185.13 / $322.91	Facility		$97.62	$185.13	$322.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $261.88 / $409.90	Professional		$130.35	$261.88	$409.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $249.92 / $507.89	Professional		$110.14	$249.92	$507.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.62 / $190.96 / $348.54	Facility		$97.62	$190.96	$348.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $243.60 / $471.42	Professional		$114.58	$243.60	$471.42
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 $161.63 / $226.28 / $360.23	Professional		$161.63	$226.28	$360.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.35 / $227.04 / $308.42	Professional		$194.35	$227.04	$308.42