Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.79 / $2,124.00 / $7,316.00	Facility		$213.79	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $150.93 / $263.87	Professional		$109.88	$150.93	$263.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.47 / $214.23 / $400.90	Professional	50	$87.47	$214.23	$400.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $128.83 / $160.57	Professional		$65.38	$128.83	$160.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $186.40 / $216.46 / $300.64	Professional	50	$186.40	$216.46	$300.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $148.11 / $596.33	Facility		$86.72	$148.11	$596.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $134.59 / $187.81	Professional		$92.62	$134.59	$187.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $335.08 / $988.57	Facility		$145.41	$335.08	$988.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $180.11 / $231.82	Professional		$130.00	$180.11	$231.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $143.03 / $143.03	Facility		$100.99	$143.03	$143.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $111.89 / $115.55	Facility		$111.89	$111.89	$115.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $160.51 / $248.63	Professional		$118.85	$160.51	$248.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $824.76	Facility		$55.00	$55.00	$824.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $853.20 / $1,141.28 / $1,187.25	Professional		$853.20	$1,141.28	$1,187.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.04 / $159.69 / $256.70	Facility		$113.04	$159.69	$256.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $169.34 / $235.91	Professional		$123.53	$169.34	$235.91
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $116.25 / $257.70 / $325.07	Professional	50	$116.25	$257.70	$325.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $155.80 / $267.24	Professional		$113.19	$155.80	$267.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.60 / $160.34 / $257.74	Facility		$112.60	$160.34	$257.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $163.58 / $262.73	Professional		$120.59	$163.58	$262.73
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 $114.07 / $149.90 / $223.95	Professional		$114.07	$149.90	$223.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $133.62 / $188.50	Professional		$118.44	$133.62	$188.50