Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.25 / $1,839.00 / $6,762.00	Facility		$341.25	$1,839.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $171.19 / $277.12	Professional		$146.68	$171.19	$277.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $210.36 / $210.36	Professional		$163.52	$210.36	$210.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,564.00 / $14,543.00	Facility		$1,845.00	$9,564.00	$14,543.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $200.25 / $279.00	Professional		$157.13	$200.25	$279.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $748.00 / $1,862.50	Facility		$167.12	$748.00	$1,862.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $237.10 / $237.10	Professional		$237.10	$237.10	$237.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.21 / $208.83 / $208.83	Facility		$142.21	$208.83	$208.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $248.62 / $388.51	Professional		$184.06	$248.62	$388.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $836.24	Facility		$55.00	$55.00	$836.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.24 / $1,270.88 / $1,442.78	Professional		$1,242.24	$1,270.88	$1,442.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.71 / $216.78 / $383.55	Facility		$158.71	$216.78	$383.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $255.86 / $301.01	Professional		$183.95	$255.86	$301.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,048.42 / $2,913.33 / $7,842.00	Facility		$2,048.42	$2,913.33	$7,842.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $262.10 / $262.10	Professional		$262.10	$262.10	$262.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.71 / $218.46 / $398.48	Facility		$158.71	$218.46	$398.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $250.67 / $396.29	Professional		$184.06	$250.67	$396.29
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 $144.65 / $206.88 / $330.24	Professional		$144.65	$206.88	$330.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $163.52 / $225.11	Professional		$142.72	$163.52	$225.11