Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.86 / $1,791.00 / $6,158.00	Facility		$98.86	$1,791.00	$6,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $84.80 / $148.16	Professional		$63.66	$84.80	$148.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $81.58 / $114.37	Professional		$66.94	$81.58	$114.37
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 $64.66 / $88.51 / $124.29	Professional		$64.66	$88.51	$124.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $203.05 / $217.16	Facility		$68.25	$203.05	$217.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $114.21 / $185.24	Professional		$85.37	$114.21	$185.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $58.38 / $80.00	Facility		$58.38	$58.38	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Facility		$118.00	$118.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $111.27 / $170.95	Professional		$76.79	$111.27	$170.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $335.30	Facility		$55.00	$55.00	$335.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $497.04 / $585.83 / $792.30	Professional		$497.04	$585.83	$792.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $94.61 / $161.49	Facility		$66.79	$94.61	$161.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $118.16 / $163.60	Professional		$87.46	$118.16	$163.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $108.22 / $152.26	Professional		$70.81	$108.22	$152.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $94.69 / $162.79	Facility		$66.94	$94.69	$162.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $116.07 / $183.70	Professional		$76.79	$116.07	$183.70
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 $71.73 / $97.35 / $159.30	Professional		$71.73	$97.35	$159.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $87.98 / $122.47	Professional		$77.56	$87.98	$122.47