Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.67 / $551.25 / $4,561.00	Facility		$93.67	$551.25	$4,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $70.65 / $120.53	Professional		$25.44	$70.65	$120.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $91.45 / $143.76	Professional		$26.76	$91.45	$143.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $55.39 / $116.91	Facility		$26.47	$55.39	$116.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $71.40 / $136.86	Professional		$29.54	$71.40	$136.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $82.62 / $344.71	Facility		$45.00	$82.62	$344.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $53.16 / $125.21	Professional		$36.79	$53.16	$125.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $162.43 / $162.43	Facility		$30.83	$162.43	$162.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $155.00 / $172.00	Facility		$27.02	$155.00	$172.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $50.30 / $100.34	Professional		$19.73	$50.30	$100.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $241.20 / $241.20 / $247.68	Facility		$241.20	$241.20	$247.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $651.16 / $832.88	Professional		$371.54	$651.16	$832.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $67.70 / $131.21	Facility		$33.89	$67.70	$131.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $96.72 / $179.90	Professional		$42.45	$96.72	$179.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $76.88 / $224.57	Professional		$30.68	$76.88	$224.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $66.94 / $126.46	Facility		$33.70	$66.94	$126.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $53.24 / $131.05	Professional		$20.65	$53.24	$131.05
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $84.06 / $94.89	Professional		$63.37	$84.06	$94.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $92.75 / $129.85	Professional		$82.55	$92.75	$129.85