Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.32 / $371.40 / $704.46	Facility		$109.32	$371.40	$704.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $108.46 / $185.10	Professional		$86.77	$108.46	$185.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $86.77	Professional		$72.31	$72.31	$86.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $458.43 / $783.79	Facility		$175.40	$458.43	$783.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $79.54 / $202.45	Professional		$5.00	$79.54	$202.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $238.61 / $746.37	Facility		$166.30	$238.61	$746.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $130.15 / $202.45	Professional		$101.23	$130.15	$202.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $144.61	Facility		$144.61	$144.61	$144.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $302.68 / $644.69	Facility		$142.75	$302.68	$644.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $93.16 / $274.91	Professional		$73.81	$93.16	$274.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.29 / $766.73 / $766.73	Facility		$354.29	$766.73	$766.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.40 / $1,085.40 / $1,085.40	Professional		$1,085.40	$1,085.40	$1,085.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $187.59 / $304.93	Facility		$115.80	$187.59	$304.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $144.61 / $180.76	Professional		$144.61	$144.61	$180.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $173.53 / $325.37	Professional		$94.00	$173.53	$325.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.13 / $200.65 / $531.90	Facility		$117.13	$200.65	$531.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $137.46 / $262.99	Professional		$76.20	$137.46	$262.99
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $103.97 / $286.76	Professional		$86.77	$103.97	$286.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $74.91 / $144.61	Professional		$70.62	$74.91	$144.61