Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $377.88 / $784.09	Facility		$95.37	$377.88	$784.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $111.68 / $150.59	Professional		$75.29	$111.68	$150.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $75.29	Professional		$62.75	$62.75	$75.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $405.33 / $734.12	Facility		$154.22	$405.33	$734.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $69.02 / $175.69	Professional		$5.00	$69.02	$175.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $194.51 / $737.63	Facility		$125.49	$194.51	$737.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $175.69 / $303.44	Professional		$112.94	$175.69	$303.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $131.77 / $131.77	Facility		$125.49	$131.77	$131.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $287.81 / $664.63	Facility		$142.75	$287.81	$664.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $92.74 / $274.91	Professional		$70.68	$92.74	$274.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $268.18 / $596.08 / $704.00	Facility		$268.18	$596.08	$704.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.00 / $1,215.00 / $1,215.00	Professional		$1,215.00	$1,215.00	$1,215.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $185.97 / $398.85	Facility		$103.00	$185.97	$398.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $125.49 / $188.24	Professional		$125.49	$125.49	$188.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $150.59 / $282.35	Professional		$81.56	$150.59	$282.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $200.66 / $530.41	Facility		$103.00	$200.66	$530.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $123.62 / $255.65	Professional		$72.09	$123.62	$255.65
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $103.97 / $248.85	Professional		$75.29	$103.97	$248.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $70.62 / $125.49	Professional		$65.00	$70.62	$125.49