Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $2,000.00 / $6,691.00	Facility		$121.84	$2,000.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $96.34 / $186.53	Professional		$63.62	$96.34	$186.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $138.87 / $138.87	Professional		$138.87	$138.87	$138.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $101.80 / $401.96	Facility		$60.43	$101.80	$401.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $108.91 / $182.48	Professional		$73.87	$108.91	$182.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $215.46 / $1,094.58	Facility		$96.26	$215.46	$1,094.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $121.76 / $121.76	Professional		$121.76	$121.76	$121.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $401.00 / $637.00	Facility		$255.00	$401.00	$637.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $129.62 / $221.38	Professional		$80.73	$129.62	$221.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $383.37 / $9,102.00 / $11,500.00	Facility		$383.37	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $559.52 / $829.12 / $1,018.73	Professional		$559.52	$829.12	$1,018.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $130.47 / $228.60	Facility		$79.95	$130.47	$228.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $145.60 / $206.69	Professional		$101.76	$145.60	$206.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $169.80 / $169.80	Professional		$169.80	$169.80	$169.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $136.47 / $294.38	Facility		$83.31	$136.47	$294.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $136.85 / $238.50	Professional		$83.95	$136.85	$238.50
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 $103.17 / $137.75 / $212.89	Professional		$103.17	$137.75	$212.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $110.69 / $154.12	Professional		$98.00	$110.69	$154.12