Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.70 / $1,466.11 / $5,049.92	Facility		$220.70	$1,466.11	$5,049.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $212.75 / $298.89	Professional		$138.21	$212.75	$298.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $166.76 / $450.00	Professional		$133.37	$166.76	$450.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.09 / $1,335.43 / $2,466.90	Facility		$568.09	$1,335.43	$2,466.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $284.63 / $334.86	Professional		$33.49	$284.63	$334.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $267.27 / $267.27 / $1,730.56	Facility		$267.27	$267.27	$1,730.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.49 / $400.92	Professional		$134.90	$275.49	$400.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $438.67 / $438.67 / $438.67	Facility		$438.67	$438.67	$438.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.25 / $462.63 / $612.35	Facility		$442.25	$462.63	$612.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.01 / $277.02 / $469.77	Professional		$195.01	$277.02	$469.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $532.20 / $1,058.15 / $1,210.92	Facility		$532.20	$1,058.15	$1,210.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.45 / $1,435.59 / $2,145.67	Professional		$1,354.45	$1,435.59	$2,145.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $208.67 / $366.18	Facility		$147.88	$208.67	$366.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $230.58 / $350.10	Professional		$155.47	$230.58	$350.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $272.67 / $383.32	Professional		$228.70	$272.67	$383.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.81 / $220.70 / $390.15	Facility		$151.81	$220.70	$390.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $285.89 / $501.62	Professional		$209.59	$285.89	$501.62
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $225.00 / $432.25	Professional		$120.00	$225.00	$432.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $194.34 / $546.97	Professional		$155.47	$194.34	$546.97