Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $1,900.02 / $6,158.00	Facility		$228.90	$1,900.02	$6,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $145.11 / $240.16	Professional		$79.73	$145.11	$240.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $87.02 / $151.32	Professional		$71.86	$87.02	$151.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.90 / $2,100.08 / $4,238.91	Facility		$1,056.90	$2,100.08	$4,238.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $142.93 / $223.65	Professional		$75.80	$142.93	$223.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $566.63 / $4,100.00	Facility		$40.88	$566.63	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $110.23 / $177.73	Professional		$85.36	$110.23	$177.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.47 / $1,107.33 / $1,107.33	Facility		$70.47	$1,107.33	$1,107.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.37 / $1,016.69 / $1,652.00	Facility		$766.37	$1,016.69	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $173.41 / $314.48	Professional		$94.31	$173.41	$314.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $557.34 / $11,500.00 / $12,000.00	Facility		$557.34	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,443.08 / $2,302.71	Professional		$1,239.00	$1,443.08	$2,302.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $175.93 / $311.48	Facility		$83.21	$175.93	$311.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $184.31 / $301.58	Professional		$102.61	$184.31	$301.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.62 / $293.19 / $464.50	Professional		$127.62	$293.19	$464.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $176.88 / $338.09	Facility		$83.22	$176.88	$338.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $187.80 / $373.36	Professional		$97.04	$187.80	$373.36
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 $137.43 / $184.54 / $295.45	Professional		$137.43	$184.54	$295.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $167.42 / $227.12	Professional		$143.00	$167.42	$227.12