Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $2,128.00 / $6,189.00	Facility		$198.74	$2,128.00	$6,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $159.43 / $305.42	Professional		$122.84	$159.43	$305.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $144.66 / $196.57	Professional		$144.66	$144.66	$196.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $116.96 / $431.61	Facility		$62.09	$116.96	$431.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $154.28 / $243.58	Professional		$106.01	$154.28	$243.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $292.55 / $1,342.28	Facility		$129.83	$292.55	$1,342.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $212.95 / $294.11	Professional		$159.76	$212.95	$294.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $166.18 / $166.18	Facility		$116.67	$166.18	$166.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.11 / $109.11 / $109.11	Facility		$109.11	$109.11	$109.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $199.99 / $312.45	Professional		$143.68	$199.99	$312.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $652.89	Facility		$55.00	$55.00	$652.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $962.08 / $1,212.56 / $1,423.43	Professional		$962.08	$1,212.56	$1,423.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $187.95 / $339.34	Facility		$137.85	$187.95	$339.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $227.55 / $287.00	Professional		$169.04	$227.55	$287.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $375.49 / $375.49 / $488.33	Facility		$375.49	$375.49	$488.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $161.50 / $199.69	Professional		$140.41	$161.50	$199.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $189.77 / $348.00	Facility		$137.85	$189.77	$348.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $206.72 / $344.64	Professional		$144.69	$206.72	$344.64
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 $128.66 / $178.28 / $285.49	Professional		$128.66	$178.28	$285.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $158.97 / $221.14	Professional		$139.97	$158.97	$221.14