Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $2,335.00 / $7,316.00	Facility		$110.27	$2,335.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $99.73 / $157.71	Professional		$51.21	$99.73	$157.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $101.75 / $101.75	Professional		$101.75	$101.75	$101.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $89.95 / $143.13	Professional		$50.17	$89.95	$143.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $54.89 / $2,222.54	Facility		$54.89	$54.89	$2,222.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $74.28 / $109.60	Professional		$57.75	$74.28	$109.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $157.71 / $157.71	Facility		$48.05	$157.71	$157.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $89.90	Facility		$89.90	$89.90	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $114.21 / $197.40	Professional		$61.14	$114.21	$197.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $248.57	Facility		$55.00	$55.00	$248.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $420.90 / $904.65	Professional		$418.32	$420.90	$904.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $101.46 / $178.06	Facility		$51.64	$101.46	$178.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $93.26 / $189.81	Professional		$65.18	$93.26	$189.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $111.92 / $226.37	Professional		$52.74	$111.92	$226.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $101.75 / $180.11	Facility		$51.64	$101.75	$180.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $116.20 / $212.62	Professional		$62.45	$116.20	$212.62
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,405.00	Facility		$161.00	$949.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $123.68 / $202.80	Professional		$91.52	$123.68	$202.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $101.75 / $142.99	Professional		$90.00	$101.75	$142.99