Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $1,760.09 / $6,386.00	Facility		$162.44	$1,760.09	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $130.76 / $242.49	Professional		$94.41	$130.76	$242.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $136.96 / $187.62	Professional		$109.29	$136.96	$187.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $115.28 / $440.25	Facility		$70.34	$115.28	$440.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $139.07 / $201.10	Professional		$97.77	$139.07	$201.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $134.05 / $476.66 / $910.36	Facility		$134.05	$476.66	$910.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $150.57 / $233.51	Professional		$116.76	$150.57	$233.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.90 / $597.60 / $597.60	Facility		$93.90	$597.60	$597.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $181.52	Facility		$181.52	$181.52	$181.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $171.89 / $276.36	Professional		$116.66	$171.89	$276.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $523.83	Facility		$55.00	$55.00	$523.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.84 / $919.58 / $1,315.65	Professional		$759.84	$919.58	$1,315.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.87 / $151.54 / $252.56	Facility		$102.87	$151.54	$252.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $194.33 / $278.55	Professional		$135.82	$194.33	$278.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $176.09 / $217.28	Professional		$113.65	$176.09	$217.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $152.53 / $256.36	Facility		$103.56	$152.53	$256.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $179.42 / $284.76	Professional		$118.13	$179.42	$284.76
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 $113.42 / $151.22 / $251.57	Professional		$113.42	$151.22	$251.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $144.32 / $201.68	Professional		$127.82	$144.32	$201.68