Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.76 / $2,485.00 / $7,316.00	Facility		$248.76	$2,485.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $152.61 / $280.27	Professional		$70.17	$152.61	$280.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $66.91 / $223.53	Professional		$34.39	$66.91	$223.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.93 / $1,226.04 / $2,656.41	Facility		$665.93	$1,226.04	$2,656.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $151.33 / $271.79	Professional		$66.03	$151.33	$271.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $35.36 / $931.27	Facility		$35.36	$35.36	$931.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $110.05 / $382.70	Professional		$72.22	$110.05	$382.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $223.92 / $223.92	Facility		$69.61	$223.92	$223.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $722.59 / $1,652.00	Facility		$544.67	$722.59	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $203.48 / $344.91	Professional		$82.53	$203.48	$344.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $424.20	Facility		$55.00	$55.00	$424.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.99 / $1,481.52 / $1,741.95	Professional		$778.99	$1,481.52	$1,741.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $184.95 / $317.73	Facility		$71.62	$184.95	$317.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $220.24 / $360.40	Professional		$91.68	$220.24	$360.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $203.63 / $443.90	Professional		$73.06	$203.63	$443.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $189.05 / $350.95	Facility		$71.73	$189.05	$350.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $208.81 / $423.59	Professional		$84.56	$208.81	$423.59
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $210.04 / $337.69	Professional		$157.53	$210.04	$337.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $199.79 / $271.39	Professional		$170.88	$199.79	$271.39