Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,800.00 / $6,081.00	Facility		$425.00	$1,800.00	$6,081.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $228.44 / $385.96	Professional		$99.84	$228.44	$385.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $131.97 / $279.11	Professional		$101.53	$131.97	$279.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.04 / $987.58 / $2,118.92	Facility		$550.04	$987.58	$2,118.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $186.20 / $334.41	Professional		$96.30	$186.20	$334.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $594.79 / $2,334.53	Facility		$325.13	$594.79	$2,334.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $213.12 / $418.64	Professional		$119.47	$213.12	$418.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $427.75 / $427.75	Facility		$94.08	$427.75	$427.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $182.22	Facility		$182.22	$182.22	$182.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $226.78 / $423.13	Professional		$118.44	$226.78	$423.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $529.39	Facility		$55.00	$55.00	$529.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $970.38 / $1,870.48 / $2,168.69	Professional		$970.38	$1,870.48	$2,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.45 / $234.56 / $421.07	Facility		$103.45	$234.56	$421.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $208.48 / $458.17	Professional		$130.63	$208.48	$458.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $249.03 / $1,381.29 / $3,419.00	Facility		$249.03	$1,381.29	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $277.49 / $554.71	Professional		$117.73	$277.49	$554.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.45 / $236.03 / $421.07	Facility		$103.45	$236.03	$421.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $232.66 / $481.22	Professional		$118.44	$232.66	$481.22
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $265.98 / $434.90	Professional		$194.34	$265.98	$434.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.23 / $240.61 / $340.55	Professional		$214.23	$240.61	$340.55