Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.68 / $2,080.00 / $6,762.00	Facility		$154.68	$2,080.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $118.60 / $194.26	Professional		$81.93	$118.60	$194.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $129.03 / $129.03	Professional		$122.13	$129.03	$129.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $92.21 / $386.54	Facility		$54.00	$92.21	$386.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $113.32 / $188.24	Professional		$71.77	$113.32	$188.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $110.75 / $335.15 / $399.88	Facility		$110.75	$335.15	$399.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $112.80 / $196.52	Professional		$72.06	$112.80	$196.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.62 / $79.62 / $79.62	Facility		$79.62	$79.62	$79.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $99.36 / $99.36	Facility		$99.36	$99.36	$99.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $145.22 / $242.00	Professional		$96.55	$145.22	$242.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $438.90	Facility		$55.00	$55.00	$438.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.32 / $958.48 / $1,127.18	Professional		$648.32	$958.48	$1,127.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $135.13 / $232.58	Facility		$92.57	$135.13	$232.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $163.05 / $226.99	Professional		$113.96	$163.05	$226.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $174.30 / $174.30	Professional		$174.30	$174.30	$174.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $136.16 / $249.72	Facility		$92.57	$136.16	$249.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $152.10 / $255.11	Professional		$98.61	$152.10	$255.11
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $943.00 / $2,376.00	Facility		$157.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $136.79 / $210.14	Professional		$99.82	$136.79	$210.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $125.33 / $175.08	Professional		$110.70	$125.33	$175.08