Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.22 / $568.66 / $1,593.69	Facility		$214.22	$568.66	$1,593.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $204.49 / $389.50	Professional		$181.76	$204.49	$389.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $194.75 / $194.75	Professional		$194.75	$194.75	$194.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.99 / $790.03 / $1,665.10	Facility		$395.99	$790.03	$1,665.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $178.52 / $454.41	Professional		$5.00	$178.52	$454.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $309.89 / $486.87 / $1,411.51	Facility		$309.89	$486.87	$1,411.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $292.12 / $454.41	Professional		$227.21	$292.12	$454.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $324.58 / $324.58	Facility		$80.00	$324.58	$324.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.22 / $708.12 / $1,446.44	Facility		$216.22	$708.12	$1,446.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $181.86 / $507.38	Professional		$147.79	$181.86	$507.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.85 / $1,541.76 / $1,541.76	Facility		$588.85	$1,541.76	$1,541.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.90 / $1,622.90 / $2,434.35	Professional		$1,622.90	$1,622.90	$2,434.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.49 / $324.58 / $486.87	Facility		$204.49	$324.58	$486.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $405.73	Professional		$324.58	$324.58	$405.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $389.50 / $730.30	Professional		$210.98	$389.50	$730.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.13 / $348.12 / $1,087.33	Facility		$226.13	$348.12	$1,087.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $306.58 / $493.20	Professional		$149.56	$306.58	$493.20
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $136.32 / $223.15	Professional		$136.32	$136.32	$223.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $324.58 / $438.18	Professional		$126.59	$324.58	$438.18