Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.25 / $2,124.00 / $5,906.00	Facility		$328.25	$2,124.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $210.67 / $337.37	Professional		$103.76	$210.67	$337.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $151.88 / $407.24	Professional		$110.30	$151.88	$407.24
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 $111.14 / $208.14 / $395.57	Professional		$111.14	$208.14	$395.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $741.85 / $927.31 / $2,395.01	Facility		$741.85	$927.31	$2,395.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $148.91 / $231.61	Professional		$112.76	$148.91	$231.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $660.52 / $660.52	Facility		$99.61	$660.52	$660.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $237.60 / $419.70	Professional		$131.63	$237.60	$419.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $526.83 / $569.62	Facility		$55.00	$526.83	$569.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $931.65 / $954.23 / $2,068.73	Professional		$931.65	$954.23	$2,068.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $223.68 / $366.82	Facility		$109.62	$223.68	$366.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $312.01 / $590.11	Professional		$146.34	$312.01	$590.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $156.38 / $319.20	Professional		$73.19	$156.38	$319.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.62 / $227.72 / $385.95	Facility		$109.62	$227.72	$385.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $263.23 / $508.90	Professional		$137.15	$263.23	$508.90
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 $202.38 / $273.08 / $446.03	Professional		$202.38	$273.08	$446.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $230.74 / $325.49	Professional		$204.84	$230.74	$325.49