Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.92 / $1,855.80 / $6,021.00	Facility		$184.92	$1,855.80	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $138.40 / $259.43	Professional		$69.02	$138.40	$259.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $127.61 / $172.16	Professional		$65.02	$127.61	$172.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $147.24 / $600.74	Facility		$81.36	$147.24	$600.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $132.53 / $233.38	Professional		$69.00	$132.53	$233.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $817.61 / $1,144.65	Facility		$161.47	$817.61	$1,144.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $150.29 / $203.33	Professional		$43.62	$150.29	$203.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $154.63 / $154.63	Facility		$66.98	$154.63	$154.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.86 / $144.86 / $144.86	Facility		$144.86	$144.86	$144.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $154.49 / $242.05	Professional		$81.05	$154.49	$242.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $372.92	Facility		$55.00	$55.00	$372.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $576.42 / $1,080.00 / $1,272.98	Professional		$576.42	$1,080.00	$1,272.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $149.69 / $251.06	Facility		$75.02	$149.69	$251.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $160.83 / $263.18	Professional		$95.46	$160.83	$263.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $148.50 / $180.29	Professional		$80.90	$148.50	$180.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $150.29 / $264.44	Facility		$75.05	$150.29	$264.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $157.27 / $261.17	Professional		$82.17	$157.27	$261.17
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $152.52 / $250.22	Professional		$110.47	$152.52	$250.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $140.22 / $197.83	Professional		$124.79	$140.22	$197.83