Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.38 / $2,107.00 / $6,021.00	Facility		$267.38	$2,107.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $214.59 / $349.92	Professional		$107.12	$214.59	$349.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $111.90 / $111.90	Professional		$111.90	$111.90	$111.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.22 / $1,872.26 / $3,573.05	Facility		$844.22	$1,872.26	$3,573.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $210.73 / $398.15	Professional		$112.75	$210.73	$398.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $705.30 / $1,053.09 / $5,069.04	Facility		$705.30	$1,053.09	$5,069.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $145.47 / $234.33	Professional		$123.09	$145.47	$234.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $582.53 / $582.53	Facility		$100.96	$582.53	$582.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $240.81 / $422.56	Professional		$133.91	$240.81	$422.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $534.36 / $577.84	Facility		$55.00	$534.36	$577.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $937.70 / $967.35 / $2,628.00	Professional		$937.70	$967.35	$2,628.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $225.26 / $369.54	Facility		$111.25	$225.26	$369.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $302.04 / $544.15	Professional		$148.43	$302.04	$544.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $157.52 / $323.30	Professional		$74.26	$157.52	$323.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $230.43 / $388.49	Facility		$111.25	$230.43	$388.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $266.20 / $515.90	Professional		$139.44	$266.20	$515.90
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $277.92 / $467.27	Professional		$205.02	$277.92	$467.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $232.34 / $327.69	Professional		$206.22	$232.34	$327.69