Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $416.87 / $1,348.96	Facility		$134.90	$416.87	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $346.74	Professional		$128.82	$181.97	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $407.38	Professional		$218.78	$309.03	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,148.15 / $1,862.09	Facility		$426.58	$1,148.15	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $691.83 / $1,096.48	Facility		$338.84	$691.83	$1,096.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $467.74	Professional		$199.53	$338.84	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Facility		$316.23	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $724.44 / $1,348.96	Facility		$263.03	$724.44	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $407.38	Professional		$147.91	$199.53	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,202.26 / $1,445.44	Professional		$371.54	$1,202.26	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $478.63	Facility		$112.20	$229.09	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $645.65	Professional		$125.89	$269.15	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $707.95	Professional		$316.23	$457.09	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $933.25	Facility		$112.20	$269.15	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $389.05	Professional		$147.91	$199.53	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $794.33	Facility		$208.93	$602.56	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $331.13	Professional		$169.82	$218.78	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Professional		$295.12	$295.12	$309.03