Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $2,107.00 / $7,408.00	Facility		$193.22	$2,107.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $130.05 / $198.26	Professional		$91.30	$130.05	$198.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $120.76 / $216.87	Professional		$112.31	$120.76	$216.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $112.47 / $468.24	Facility		$68.09	$112.47	$468.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $122.67 / $192.23	Professional		$93.13	$122.67	$192.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $329.35 / $771.38	Facility		$121.10	$329.35	$771.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $147.58 / $208.93	Professional		$105.60	$147.58	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $234.66 / $234.66	Facility		$85.00	$234.66	$234.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $93.18 / $96.22	Facility		$93.18	$93.18	$96.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $141.66 / $216.50	Professional		$103.96	$141.66	$216.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $9,102.00 / $11,500.00	Facility		$700.80	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $744.96 / $938.24 / $1,074.45	Professional		$744.96	$938.24	$1,074.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $140.22 / $216.85	Facility		$100.75	$140.22	$216.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $156.47 / $212.81	Professional		$116.10	$156.47	$212.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $137.16 / $224.98	Professional		$96.00	$137.16	$224.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $140.22 / $219.80	Facility		$100.67	$140.22	$219.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $144.58 / $227.89	Professional		$106.42	$144.58	$227.89
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 $98.53 / $131.37 / $195.30	Professional		$98.53	$131.37	$195.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $120.76 / $169.75	Professional		$106.84	$120.76	$169.75