Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $2,128.00 / $7,513.00	Facility		$296.08	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $190.12 / $356.28	Professional		$113.35	$190.12	$356.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $325.68	Professional		$115.86	$115.86	$325.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $917.66 / $1,606.75 / $3,404.31	Facility		$917.66	$1,606.75	$3,404.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $200.97 / $322.91	Professional		$112.04	$200.97	$322.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $563.34 / $4,858.42	Facility		$219.78	$563.34	$4,858.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $172.51 / $201.10	Professional		$138.53	$172.51	$201.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $1,700.23 / $1,700.23	Facility		$116.28	$1,700.23	$1,700.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $1,652.00	Facility		$684.87	$908.58	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $235.20 / $402.07	Professional		$130.63	$235.20	$402.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $839.22 / $11,500.00 / $12,000.00	Facility		$839.22	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $948.57 / $1,781.92 / $2,108.10	Professional		$948.57	$1,781.92	$2,108.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $195.35 / $351.68	Facility		$114.57	$195.35	$351.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $265.79 / $434.93	Professional		$155.58	$265.79	$434.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $265.67 / $560.50	Professional		$129.72	$265.67	$560.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.56 / $199.10 / $372.72	Facility		$115.56	$199.10	$372.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $264.32 / $488.53	Professional		$136.86	$264.32	$488.53
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 $160.38 / $232.48 / $359.70	Professional		$160.38	$232.48	$359.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $240.92 / $327.12	Professional		$206.22	$240.92	$327.12