Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.13 / $1,904.00 / $6,762.00	Facility		$176.13	$1,904.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $154.44 / $261.29	Professional		$103.40	$154.44	$261.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $155.54 / $217.41	Professional		$108.07	$155.54	$217.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $142.26 / $579.77	Facility		$84.77	$142.26	$579.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $162.52 / $243.61	Professional		$106.74	$162.52	$243.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $656.99 / $910.36	Facility		$163.02	$656.99	$910.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $199.49 / $289.99	Professional		$143.10	$199.49	$289.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $406.01 / $406.01	Facility		$101.16	$406.01	$406.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $196.86	Facility		$196.86	$196.86	$196.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $196.86 / $311.18	Professional		$127.83	$196.86	$311.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $568.62	Facility		$55.00	$55.00	$568.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $826.56 / $993.00 / $1,521.98	Professional		$826.56	$993.00	$1,521.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $172.85 / $279.89	Facility		$111.69	$172.85	$279.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $210.57 / $323.08	Professional		$147.16	$210.57	$323.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $200.69 / $292.50	Professional		$122.46	$200.69	$292.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $173.04 / $292.67	Facility		$112.28	$173.04	$292.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $207.14 / $327.61	Professional		$127.83	$207.14	$327.61
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 $132.36 / $176.48 / $288.56	Professional		$132.36	$176.48	$288.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $167.24 / $234.18	Professional		$148.25	$167.24	$234.18