Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.86 / $1,922.00 / $6,762.00	Facility		$113.86	$1,922.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $87.31 / $160.08	Professional		$54.31	$87.31	$160.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $50.96 / $89.63	Professional		$50.96	$50.96	$89.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $72.89 / $206.28	Facility		$41.99	$72.89	$206.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $90.04 / $146.60	Professional		$54.76	$90.04	$146.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $550.00 / $8,000.00	Facility		$41.40	$550.00	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $90.50 / $112.63	Professional		$55.79	$90.50	$112.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $162.93 / $162.93	Facility		$50.91	$162.93	$162.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $74.28 / $74.28	Facility		$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $102.60 / $171.91	Professional		$64.04	$102.60	$171.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $285.86	Facility		$55.00	$55.00	$285.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.28 / $699.92 / $805.13	Professional		$425.28	$699.92	$805.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $98.10 / $172.89	Facility		$61.35	$98.10	$172.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $120.68 / $167.09	Professional		$74.43	$120.68	$167.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $144.60 / $144.60	Professional		$144.60	$144.60	$144.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $98.18 / $185.32	Facility		$61.60	$98.18	$185.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $105.60 / $180.05	Professional		$65.03	$105.60	$180.05
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $98.52 / $153.15	Professional		$70.37	$98.52	$153.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $89.63 / $125.43	Professional		$79.23	$89.63	$125.43