Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.34 / $1,654.18 / $3,301.90	Facility		$204.34	$1,654.18	$3,301.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $238.36 / $319.16	Professional		$184.87	$238.36	$319.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $300.00 / $720.00	Professional		$229.43	$300.00	$720.00
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 $114.69 / $307.80 / $362.12	Professional		$114.69	$307.80	$362.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $284.93 / $284.93 / $1,730.56	Facility		$284.93	$284.93	$1,730.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $179.86 / $300.45 / $427.40	Professional		$179.86	$300.45	$427.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
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 $222.71 / $313.95 / $534.96	Professional		$222.71	$313.95	$534.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $580.16 / $1,173.23 / $1,342.40	Facility		$580.16	$1,173.23	$1,342.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.41 / $1,557.41 / $2,337.90	Professional		$1,557.41	$1,557.41	$2,337.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.50 / $246.58 / $393.85	Facility		$197.50	$246.58	$393.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $207.29 / $275.12	Professional		$207.29	$207.29	$275.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.35 / $331.88 / $466.53	Professional		$278.35	$331.88	$466.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $249.61 / $421.05	Facility		$198.67	$249.61	$421.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $337.00 / $534.96	Professional		$241.19	$337.00	$534.96
United Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $258.20 / $455.64	Professional		$160.38	$258.20	$455.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $259.11 / $418.09	Professional		$207.29	$259.11	$418.09