Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $1,509.00 / $5,666.57	Facility		$163.92	$1,509.00	$5,666.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $101.48 / $201.89	Professional		$60.85	$101.48	$201.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $102.45 / $126.06	Professional		$87.08	$102.45	$126.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $78.50 / $320.26	Facility		$45.00	$78.50	$320.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $88.88 / $156.31	Professional		$53.63	$88.88	$156.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $237.29 / $399.88	Facility		$93.15	$237.29	$399.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $133.19 / $189.53	Professional		$93.00	$133.19	$189.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Facility		$56.91	$56.91	$56.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.57 / $83.57 / $83.57	Facility		$83.57	$83.57	$83.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $117.70 / $196.54	Professional		$71.78	$117.70	$196.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $317.30	Facility		$55.00	$55.00	$317.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $474.32 / $852.00 / $921.68	Professional		$474.32	$852.00	$921.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $111.19 / $195.74	Facility		$64.20	$111.19	$195.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $116.71 / $185.68	Professional		$83.27	$116.71	$185.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $101.52 / $101.52 / $131.96	Facility		$101.52	$101.52	$131.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $129.62 / $243.43	Professional		$70.63	$129.62	$243.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.55 / $111.41 / $201.12	Facility		$64.55	$111.41	$201.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $119.25 / $202.91	Professional		$73.19	$119.25	$202.91
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 $80.84 / $110.25 / $176.39	Professional		$80.84	$110.25	$176.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $102.45 / $143.26	Professional		$90.55	$102.45	$143.26