Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.42 / $2,396.00 / $6,837.00	Facility		$376.42	$2,396.00	$6,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $273.64 / $439.27	Professional		$145.87	$273.64	$439.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $183.01 / $183.01	Professional		$183.01	$183.01	$183.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $298.27 / $1,216.96	Facility		$171.01	$298.27	$1,216.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $259.19 / $464.58	Professional		$146.21	$259.19	$464.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $750.00 / $5,373.94	Facility		$294.83	$750.00	$5,373.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $2,894.63 / $2,894.63	Facility		$139.05	$2,894.63	$2,894.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.87 / $274.87 / $274.87	Facility		$274.87	$274.87	$274.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $326.00 / $525.70	Professional		$172.07	$326.00	$525.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $778.38	Facility		$55.00	$55.00	$778.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.00 / $2,206.23 / $2,602.65	Professional		$2,164.00	$2,206.23	$2,602.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $317.52 / $599.08	Facility		$165.49	$317.52	$599.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $328.77 / $537.98	Professional		$202.27	$328.77	$537.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $273.89 / $368.05	Professional		$167.24	$273.89	$368.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $318.58 / $610.61	Facility		$165.49	$318.58	$610.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.66 / $332.50 / $550.41	Professional		$176.66	$332.50	$550.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $332.71 / $538.67	Professional		$242.22	$332.71	$538.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $287.30 / $404.03	Professional		$255.09	$287.30	$404.03