Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $1,859.00 / $6,021.00	Facility		$117.53	$1,859.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $95.17 / $135.55	Professional		$49.80	$95.17	$135.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $80.79 / $80.79	Professional		$80.79	$80.79	$80.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $88.65 / $341.72	Facility		$53.37	$88.65	$341.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $85.45 / $149.18	Professional		$47.03	$85.45	$149.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $98.85 / $267.95 / $534.24	Facility		$98.85	$267.95	$534.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $123.57 / $182.24	Professional		$72.56	$123.57	$182.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.24 / $193.28 / $193.28	Facility		$46.24	$193.28	$193.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $106.71 / $187.13	Professional		$59.08	$106.71	$187.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $257.69	Facility		$55.00	$55.00	$257.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $725.28 / $821.03	Professional		$588.00	$725.28	$821.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $104.69 / $203.99	Facility		$52.20	$104.69	$203.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $104.26 / $165.87	Professional		$66.01	$104.26	$165.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $164.90	Professional		$164.90	$164.90	$164.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $104.69 / $208.80	Facility		$52.20	$104.69	$208.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $110.12 / $192.47	Professional		$59.47	$110.12	$192.47
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $107.58 / $175.80	Professional		$76.68	$107.58	$175.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $91.12 / $128.32	Professional		$80.89	$91.12	$128.32