Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.66 / $1,899.00 / $6,691.00	Facility		$202.66	$1,899.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $146.63 / $276.74	Professional		$85.00	$146.63	$276.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $47.10 / $202.12	Professional		$44.89	$47.10	$202.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $718.20 / $1,283.08 / $2,880.88	Facility		$718.20	$1,283.08	$2,880.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $163.06 / $256.52	Professional		$86.63	$163.06	$256.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.37 / $458.77 / $491.13	Facility		$46.37	$458.77	$491.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $67.34 / $104.39	Professional		$47.10	$67.34	$104.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $218.39 / $218.39	Facility		$79.50	$218.39	$218.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.55 / $610.55 / $630.51	Facility		$610.55	$610.55	$630.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $169.53 / $267.82	Professional		$97.68	$169.53	$267.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $654.12	Facility		$55.00	$55.00	$654.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $2,809.41 / $2,902.12	Professional		$801.00	$2,809.41	$2,902.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $183.17 / $342.36	Facility		$96.39	$183.17	$342.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $190.36 / $294.19	Professional		$101.76	$190.36	$294.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $165.89 / $216.05	Professional		$88.72	$165.89	$216.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $183.21 / $347.89	Facility		$96.39	$183.21	$347.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $172.41 / $268.98	Professional		$99.72	$172.41	$268.98
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $177.19 / $259.94	Professional		$135.61	$177.19	$259.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $165.89 / $234.75	Professional		$147.69	$165.89	$234.75