Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $2,001.00 / $6,386.00	Facility		$263.20	$2,001.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $204.27 / $319.39	Professional		$143.25	$204.27	$319.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $189.19 / $206.06	Professional		$83.68	$189.19	$206.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $209.01 / $862.35	Facility		$137.79	$209.01	$862.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $200.07 / $286.00	Professional		$140.47	$200.07	$286.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $124.47 / $4,000.00	Facility		$62.37	$124.47	$4,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $203.74 / $296.89	Professional		$145.53	$203.74	$296.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $152.71 / $1,524.74 / $1,524.74	Facility		$152.71	$1,524.74	$1,524.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.47 / $223.34 / $3,559.00	Facility		$188.47	$223.34	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $245.93 / $406.59	Professional		$164.97	$245.93	$406.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,074.48	Facility		$55.00	$55.00	$1,074.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.72 / $1,593.12 / $1,869.00	Professional		$1,120.72	$1,593.12	$1,869.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $219.93 / $379.90	Facility		$151.41	$219.93	$379.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $279.63 / $387.18	Professional		$196.38	$279.63	$387.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.63 / $327.48 / $589.50	Professional		$181.63	$327.48	$589.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $221.19 / $429.79	Facility		$151.49	$221.19	$429.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $268.72 / $468.59	Professional		$172.03	$268.72	$468.59
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,527.00 / $3,260.00	Facility		$371.00	$1,527.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $231.91 / $368.20	Professional		$172.33	$231.91	$368.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.58 / $214.64 / $291.39	Professional		$183.58	$214.64	$291.39