Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.46 / $2,107.00 / $7,408.00	Facility		$230.46	$2,107.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $157.38 / $269.54	Professional		$117.53	$157.38	$269.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $161.87 / $161.87	Professional		$161.87	$161.87	$161.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $154.33 / $633.91	Facility		$75.88	$154.33	$633.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $180.69 / $262.67	Professional		$124.69	$180.69	$262.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $112.56 / $2,413.35	Facility		$53.16	$112.56	$2,413.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $225.78 / $225.78	Professional		$225.78	$225.78	$225.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.61 / $1,013.56 / $1,013.56	Facility		$116.61	$1,013.56	$1,013.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $181.54 / $181.54	Facility		$181.54	$181.54	$181.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $194.26 / $296.33	Professional		$135.21	$194.26	$296.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $685.66 / $9,102.00 / $11,500.00	Facility		$685.66	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $968.64 / $1,371.84 / $1,610.63	Professional		$968.64	$1,371.84	$1,610.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.34 / $178.61 / $313.25	Facility		$130.34	$178.61	$313.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $240.96 / $333.63	Professional		$169.88	$240.96	$333.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Professional		$187.40	$187.40	$187.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.34 / $179.30 / $333.38	Facility		$130.34	$179.30	$333.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $197.91 / $350.53	Professional		$135.91	$197.91	$350.53
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $165.94 / $269.97	Professional		$113.75	$165.94	$269.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $177.88 / $250.88	Professional		$158.19	$177.88	$250.88