Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $460.33 / $2,263.66	Facility		$109.13	$460.33	$2,263.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $134.04 / $346.91	Professional		$109.13	$134.04	$346.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $185.09 / $284.44	Professional		$113.90	$185.09	$284.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $312.77 / $531.33	Facility		$131.79	$312.77	$531.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $109.94 / $144.50	Professional		$31.46	$109.94	$144.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $399.59 / $399.59 / $609.38	Facility		$399.59	$399.59	$609.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $156.62 / $242.13	Professional		$128.13	$156.62	$242.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $157.65 / $568.04	Facility		$142.00	$157.65	$568.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $418.84 / $819.29	Facility		$163.46	$418.84	$819.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $144.22 / $285.17	Professional		$100.31	$144.22	$285.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.26 / $823.22 / $823.22	Facility		$309.26	$823.22	$823.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.11 / $1,029.11 / $1,288.43	Professional		$1,029.11	$1,029.11	$1,288.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.56 / $149.19 / $263.25	Facility		$90.56	$149.19	$263.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $201.31 / $363.20	Professional		$142.38	$201.31	$363.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $107.70 / $249.46	Professional		$36.51	$107.70	$249.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $154.57 / $361.31	Facility		$92.20	$154.57	$361.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $151.72 / $323.81	Professional		$102.55	$151.72	$323.81
United Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $157.03 / $248.66	Professional		$112.14	$157.03	$248.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.27 / $142.38 / $202.64	Professional		$127.27	$142.38	$202.64