Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.94 / $1,665.00 / $6,386.00	Facility		$70.94	$1,665.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $87.50 / $147.76	Professional		$43.41	$87.50	$147.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $88.51 / $106.21	Professional		$81.88	$88.51	$106.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $72.77 / $233.33	Facility		$48.69	$72.77	$233.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $71.33 / $111.61	Professional		$39.71	$71.33	$111.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $676.21 / $1,834.30	Facility		$86.94	$676.21	$1,834.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $125.01 / $194.81	Professional		$91.43	$125.01	$194.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $273.57 / $273.57	Facility		$37.60	$273.57	$273.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.69 / $78.00 / $1,487.00	Facility		$70.69	$78.00	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $107.96 / $195.17	Professional		$49.74	$107.96	$195.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $219.34	Facility		$55.00	$55.00	$219.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.00 / $1,797.00 / $1,797.00	Professional		$1,797.00	$1,797.00	$1,797.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $105.59 / $193.91	Facility		$45.77	$105.59	$193.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $99.33 / $155.47	Professional		$54.02	$99.33	$155.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $220.00 / $245.40	Professional		$3.00	$220.00	$245.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $105.89 / $196.64	Facility		$45.74	$105.89	$196.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $110.93 / $210.11	Professional		$51.46	$110.93	$210.11
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $949.00 / $2,376.00	Facility		$155.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $103.62 / $169.56	Professional		$73.01	$103.62	$169.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $86.19 / $116.88	Professional		$73.70	$86.19	$116.88