Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $1,856.00 / $6,691.00	Facility		$139.27	$1,856.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $88.06 / $197.85	Professional		$38.97	$88.06	$197.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $105.80 / $148.54	Professional		$50.16	$105.80	$148.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $174.45 / $406.68	Facility		$93.10	$174.45	$406.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $85.39 / $153.36	Professional		$37.60	$85.39	$153.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $164.38 / $3,081.92	Facility		$41.68	$164.38	$3,081.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $70.48 / $158.69	Professional		$45.03	$70.48	$158.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $108.25 / $108.25	Facility		$39.35	$108.25	$108.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.00 / $112.00	Facility		$50.00	$62.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $97.21 / $183.76	Professional		$44.33	$97.21	$183.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $241.55	Facility		$55.00	$55.00	$241.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $820.40 / $966.30	Professional		$429.56	$820.40	$966.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $89.89 / $155.90	Facility		$39.13	$89.89	$155.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $122.05 / $194.16	Professional		$52.56	$122.05	$194.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $116.38 / $229.78	Professional		$43.96	$116.38	$229.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $90.16 / $161.90	Facility		$39.36	$90.16	$161.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $107.82 / $253.84	Professional		$46.99	$107.82	$253.84
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 $74.89 / $105.92 / $171.08	Professional		$74.89	$105.92	$171.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $110.71 / $150.47	Professional		$94.69	$110.71	$150.47