Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.52 / $1,938.00 / $6,386.00	Facility		$297.52	$1,938.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $188.90 / $354.06	Professional		$71.81	$188.90	$354.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $230.88 / $353.23	Professional		$230.88	$230.88	$353.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $320.48 / $1,241.31	Facility		$181.60	$320.48	$1,241.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $215.66 / $361.25	Professional		$68.64	$215.66	$361.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $348.83 / $605.00 / $2,600.08	Facility		$348.83	$605.00	$2,600.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $95.60 / $149.80	Professional		$71.75	$95.60	$149.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $708.39 / $708.39	Facility		$69.55	$708.39	$708.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.90 / $312.95 / $2,530.00	Facility		$235.90	$312.95	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $231.87 / $416.18	Professional		$81.01	$231.87	$416.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $430.25 / $9,102.00 / $11,500.00	Facility		$430.25	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.28 / $1,944.96 / $2,300.92	Professional		$1,023.28	$1,944.96	$2,300.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.13 / $194.27 / $366.53	Facility		$72.13	$194.27	$366.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $289.98 / $474.52	Professional		$95.88	$289.98	$474.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $281.35 / $632.83	Professional		$76.73	$281.35	$632.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $201.74 / $394.43	Facility		$72.20	$201.74	$394.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $243.32 / $542.72	Professional		$85.04	$243.32	$542.72
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 $186.46 / $263.81 / $416.82	Professional		$186.46	$263.81	$416.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.99 / $262.95 / $357.40	Professional		$224.99	$262.95	$357.40