Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.80 / $1,665.00 / $6,158.00	Facility		$189.80	$1,665.00	$6,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $140.35 / $271.27	Professional		$109.45	$140.35	$271.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $143.68 / $181.90	Professional		$116.47	$143.68	$181.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $109.82 / $328.23	Facility		$61.39	$109.82	$328.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $143.72 / $203.95	Professional		$110.11	$143.72	$203.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $283.89 / $388.05	Facility		$115.90	$283.89	$388.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $172.42 / $251.44	Professional		$133.94	$172.42	$251.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $274.23 / $274.23	Facility		$106.29	$274.23	$274.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $208.55 / $208.55	Facility		$208.55	$208.55	$208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $185.53 / $284.70	Professional		$133.88	$185.53	$284.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $588.62	Facility		$55.00	$55.00	$588.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $855.78 / $1,063.59 / $1,330.80	Professional		$855.78	$1,063.59	$1,330.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $157.04 / $273.52	Facility		$117.88	$157.04	$273.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $200.87 / $267.82	Professional		$156.01	$200.87	$267.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $175.04 / $244.42	Professional		$128.05	$175.04	$244.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $158.05 / $279.97	Facility		$118.44	$158.05	$279.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $196.27 / $297.07	Professional		$134.91	$196.27	$297.07
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 $116.93 / $161.26 / $262.26	Professional		$116.93	$161.26	$262.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $143.68 / $199.03	Professional		$126.99	$143.68	$199.03