Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.32 / $1,900.00 / $6,021.00	Facility		$185.32	$1,900.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $128.40 / $220.64	Professional		$94.51	$128.40	$220.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $93.66 / $129.54	Professional		$93.66	$93.66	$129.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $122.25 / $512.42	Facility		$60.09	$122.25	$512.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $144.71 / $211.83	Professional		$101.27	$144.71	$211.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $165.62 / $191.49	Facility		$103.71	$165.62	$191.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $128.12 / $144.72	Professional		$81.84	$128.12	$144.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $96.59 / $96.59	Facility		$96.59	$96.59	$96.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.58 / $148.58 / $148.58	Facility		$148.58	$148.58	$148.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $156.16 / $237.07	Professional		$110.14	$156.16	$237.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $562.12	Facility		$55.00	$55.00	$562.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $788.72 / $1,096.56 / $1,293.00	Professional		$788.72	$1,096.56	$1,293.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.45 / $139.84 / $243.72	Facility		$102.45	$139.84	$243.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $193.01 / $267.25	Professional		$138.76	$193.01	$267.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $153.40 / $153.40	Professional		$153.40	$153.40	$153.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.45 / $142.35 / $259.45	Facility		$102.45	$142.35	$259.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $158.25 / $282.37	Professional		$110.58	$158.25	$282.37
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,527.00 / $3,287.00	Facility		$369.00	$1,527.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $130.30 / $210.41	Professional		$89.05	$130.30	$210.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $142.35 / $200.91	Professional		$126.71	$142.35	$200.91