Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.86 / $1,827.00 / $6,691.00	Facility		$221.86	$1,827.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $141.97 / $260.26	Professional		$97.27	$141.97	$260.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $103.96 / $337.87	Professional		$94.60	$103.96	$337.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $119.98 / $487.46	Facility		$67.95	$119.98	$487.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $173.29 / $254.53	Professional		$103.65	$173.29	$254.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $66.12 / $274.42	Facility		$48.37	$66.12	$274.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $154.16 / $343.02	Professional		$103.96	$154.16	$343.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.59 / $191.04 / $191.04	Facility		$97.59	$191.04	$191.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $156.13 / $156.13	Facility		$156.13	$156.13	$156.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $177.28 / $276.74	Professional		$112.13	$177.28	$276.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $556.84	Facility		$55.00	$55.00	$556.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,321.28 / $1,557.53	Professional		$794.00	$1,321.28	$1,557.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $168.74 / $294.91	Facility		$106.00	$168.74	$294.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $199.75 / $313.04	Professional		$139.61	$199.75	$313.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $184.70 / $184.70	Professional		$184.70	$184.70	$184.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $170.75 / $297.52	Facility		$106.00	$170.75	$297.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $181.47 / $302.08	Professional		$114.13	$181.47	$302.08
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 $108.90 / $157.78 / $254.17	Professional		$108.90	$157.78	$254.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $171.51 / $242.07	Professional		$152.66	$171.51	$242.07