Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $2,000.00 / $6,021.00	Facility		$192.38	$2,000.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $138.46 / $217.87	Professional		$110.75	$138.46	$217.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $194.79 / $390.78	Professional		$120.24	$194.79	$390.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $101.73 / $428.46	Facility		$51.32	$101.73	$428.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $151.15 / $227.33	Professional		$117.89	$151.15	$227.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $121.40 / $121.40 / $156.79	Facility		$121.40	$121.40	$156.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $175.25 / $272.88	Professional		$120.24	$175.25	$272.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.58 / $252.80 / $252.80	Facility		$113.58	$252.80	$252.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $121.65 / $121.65	Facility		$121.65	$121.65	$121.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $164.73 / $252.55	Professional		$125.76	$164.73	$252.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $650.61	Facility		$55.00	$55.00	$650.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $918.08 / $1,084.65 / $1,234.58	Professional		$918.08	$1,084.65	$1,234.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $149.33 / $251.14	Facility		$117.68	$149.33	$251.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $199.25 / $247.94	Professional		$161.88	$199.25	$247.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $188.20 / $188.20	Professional		$188.20	$188.20	$188.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.84 / $150.08 / $260.91	Facility		$118.84	$150.08	$260.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $168.10 / $278.66	Professional		$126.38	$168.10	$278.66
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 $94.85 / $133.16 / $223.67	Professional		$94.85	$133.16	$223.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $136.44 / $191.34	Professional		$120.92	$136.44	$191.34