Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.97 / $310.57 / $6,292.00	Facility		$173.97	$310.57	$6,292.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,024.25 / $6,292.00 / $6,643.00	Facility	25	$1,024.25	$6,292.00	$6,643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $230.62 / $555.46	Professional		$172.33	$230.62	$555.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $315.05 / $1,015.59	Professional	25	$189.83	$315.05	$1,015.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $242.71 / $606.78	Professional		$200.06	$242.71	$606.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $202.26 / $252.82 / $657.34	Professional	25	$202.26	$252.82	$657.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.30 / $2,966.64 / $9,040.00	Facility		$748.30	$2,966.64	$9,040.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $216.66 / $290.16	Professional		$168.92	$216.66	$290.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $302.81 / $414.10 / $2,041.48	Facility		$302.81	$414.10	$2,041.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $206.31 / $265.27 / $602.73	Professional		$206.31	$265.27	$602.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $268.70 / $268.70	Facility		$196.85	$268.70	$268.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,209.00 / $1,500.00 / $3,143.00	Facility		$1,209.00	$1,500.00	$3,143.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $295.37 / $506.55	Professional		$204.23	$295.37	$506.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $962.77 / $1,027.61 / $1,027.61	Facility		$962.77	$1,027.61	$1,027.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $1,733.52 / $1,733.52	Professional		$392.40	$1,733.52	$1,733.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.85 / $272.31 / $509.60	Facility		$188.85	$272.31	$509.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $344.00 / $808.36	Professional		$241.31	$344.00	$808.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $458.00 / $458.00	Facility		$458.00	$458.00	$458.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.12 / $307.56 / $536.82	Professional		$205.12	$307.56	$536.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.85 / $272.31 / $524.70	Facility		$188.85	$272.31	$524.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $318.48 / $594.86	Professional		$217.86	$318.48	$594.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $293.92 / $490.05	Professional		$213.76	$293.92	$490.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.65 / $265.56 / $362.33	Professional		$226.65	$265.56	$362.33