Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $1,937.00 / $6,762.00	Facility		$122.06	$1,937.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $106.28 / $166.46	Professional		$26.57	$106.28	$166.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $108.62 / $108.62	Professional		$108.62	$108.62	$108.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $166.41 / $640.52	Facility		$97.33	$166.41	$640.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $83.26 / $139.16	Professional		$23.83	$83.26	$139.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $81.38 / $138.90	Facility		$14.89	$81.38	$138.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $28.12 / $55.02	Professional		$15.01	$28.12	$55.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $92.03 / $92.03	Facility		$25.75	$92.03	$92.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $114.45 / $222.16	Professional		$33.19	$114.45	$222.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $208.50	Facility		$55.00	$55.00	$208.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $423.37 / $852.84 / $952.58	Professional		$423.37	$852.84	$952.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $90.68 / $191.57	Facility		$28.93	$90.68	$191.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $126.10 / $197.37	Professional		$37.43	$126.10	$197.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $152.30 / $152.30	Professional		$152.30	$152.30	$152.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $93.16 / $196.04	Facility		$29.35	$93.16	$196.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $113.04 / $233.85	Professional		$34.18	$113.04	$233.85
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $136.80 / $220.25	Professional		$101.36	$136.80	$220.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $104.67 / $148.78	Professional		$93.58	$104.67	$148.78