Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.81 / $1,110.85 / $2,903.75	Facility		$151.81	$1,110.85	$2,903.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $126.70 / $241.58	Professional		$85.20	$126.70	$241.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $99.47 / $299.79	Professional		$94.51	$99.47	$299.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.81 / $852.97 / $1,886.59	Facility		$482.81	$852.97	$1,886.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $144.93 / $243.71	Professional		$96.91	$144.93	$243.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $1,449.57 / $2,600.00	Facility		$106.50	$1,449.57	$2,600.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $166.64 / $287.00	Professional		$97.21	$166.64	$287.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $261.89 / $261.89	Facility		$93.58	$261.89	$261.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $559.99 / $1,633.00	Facility		$128.69	$559.99	$1,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $187.24 / $332.31	Professional		$120.52	$187.24	$332.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $612.90 / $612.90 / $2,436.00	Facility		$612.90	$612.90	$2,436.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.63 / $1,733.60 / $1,785.61	Professional		$671.63	$1,733.60	$1,785.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $172.20 / $446.03	Facility		$103.99	$172.20	$446.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $192.60 / $259.26	Professional		$134.97	$192.60	$259.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $177.21 / $432.25	Facility		$103.99	$177.21	$432.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $193.46 / $369.41	Professional		$120.52	$193.46	$369.41
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $3,287.00	Facility		$365.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $209.85 / $364.10	Professional		$146.29	$209.85	$364.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $143.50 / $200.84	Professional		$126.44	$143.50	$200.84