Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $2,068.00 / $6,691.00	Facility		$320.07	$2,068.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $220.58 / $417.48	Professional		$101.87	$220.58	$417.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $483.12 / $483.12 / $702.80	Professional	50	$483.12	$483.12	$702.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.63 / $254.63 / $495.16	Professional		$254.63	$254.63	$495.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.23 / $209.15 / $836.48	Facility		$125.23	$209.15	$836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $202.33 / $363.38	Professional		$91.82	$202.33	$363.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $440.30 / $4,826.68	Facility		$232.16	$440.30	$4,826.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $180.06 / $266.54	Professional		$124.17	$180.06	$266.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $304.18 / $304.18	Facility		$99.97	$304.18	$304.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.10 / $197.10 / $203.54	Facility		$197.10	$197.10	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $262.80 / $434.53	Professional		$116.51	$262.80	$434.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $818.34	Facility		$55.00	$55.00	$818.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.40 / $2,056.15 / $2,313.67	Professional		$1,024.40	$2,056.15	$2,313.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $241.35 / $427.02	Facility		$98.22	$241.35	$427.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $191.91 / $426.98	Professional		$124.18	$191.91	$426.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $254.63 / $305.86	Professional		$107.04	$254.63	$305.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $241.35 / $430.49	Facility		$99.18	$241.35	$430.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $269.06 / $446.91	Professional		$121.07	$269.06	$446.91
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $283.80 / $408.74	Professional		$207.36	$283.80	$408.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $254.63 / $362.34	Professional		$227.76	$254.63	$362.34