Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $1,266.00 / $5,151.00	Facility		$178.59	$1,266.00	$5,151.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $128.16 / $301.83	Professional		$52.31	$128.16	$301.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $82.63 / $386.45	Professional		$50.05	$82.63	$386.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $2,673.00 / $4,277.00	Facility		$182.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $143.13 / $316.08	Professional		$45.78	$143.13	$316.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $69.73 / $74.58	Facility		$27.68	$69.73	$74.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $114.55 / $408.31	Professional		$60.51	$114.55	$408.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $215.01 / $215.01	Facility		$51.27	$215.01	$215.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $149.86 / $363.31	Professional		$62.32	$149.86	$363.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $336.80 / $593.23	Facility		$55.00	$336.80	$593.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.73 / $1,970.70 / $2,976.11	Professional		$1,062.73	$1,970.70	$2,976.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $141.00 / $300.00	Facility		$55.01	$141.00	$300.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $264.83 / $533.27	Professional		$73.59	$264.83	$533.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $154.30 / $488.27	Professional		$56.41	$154.30	$488.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.05 / $142.93 / $302.77	Facility		$55.05	$142.93	$302.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $165.97 / $463.75	Professional		$65.84	$165.97	$463.75
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $190.09 / $303.16	Professional		$117.89	$190.09	$303.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $214.87 / $306.23	Professional		$192.70	$214.87	$306.23