Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.85 / $2,366.00 / $6,691.00	Facility		$268.85	$2,366.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $179.09 / $316.19	Professional		$125.02	$179.09	$316.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $181.64 / $304.01	Professional		$145.02	$181.64	$304.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.94 / $406.08 / $939.23	Facility		$240.94	$406.08	$939.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $219.39 / $355.62	Professional		$139.54	$219.39	$355.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $260.93 / $313.44 / $542.58	Facility		$260.93	$313.44	$542.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $264.79 / $379.91	Professional		$181.28	$264.79	$379.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $125.53 / $125.53	Facility		$125.53	$125.53	$125.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $234.09 / $234.09	Facility		$234.09	$234.09	$234.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $239.22 / $361.32	Professional		$156.02	$239.22	$361.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $762.95	Facility		$55.00	$55.00	$762.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.68 / $1,688.72 / $1,925.03	Professional		$1,125.68	$1,688.72	$1,925.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.75 / $224.78 / $398.54	Facility		$147.75	$224.78	$398.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $292.25 / $401.29	Professional		$193.01	$292.25	$401.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $263.74 / $450.08	Professional		$163.87	$263.74	$450.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.04 / $225.48 / $398.54	Facility		$147.04	$225.48	$398.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.26 / $245.38 / $406.36	Professional		$160.26	$245.38	$406.36
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 $163.16 / $228.32 / $356.84	Professional		$163.16	$228.32	$356.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.87 / $224.84 / $304.89	Professional		$191.87	$224.84	$304.89