Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.03 / $181.60 / $6,643.00	Facility		$90.03	$181.60	$6,643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $104.58 / $217.69	Professional		$85.98	$104.58	$217.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.30 / $200.00 / $818.00	Professional	25	$95.30	$200.00	$818.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.13 / $123.59 / $303.39	Professional		$101.13	$123.59	$303.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $101.13 / $126.09 / $328.68	Professional	25	$101.13	$126.09	$328.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $332.61 / $567.04	Facility		$115.68	$332.61	$567.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $105.72 / $130.93	Professional		$84.48	$105.72	$130.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $136.53 / $301.37	Professional		$107.39	$136.53	$301.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $106.78 / $112.04	Facility		$99.06	$106.78	$112.04
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 $100.62 / $137.60 / $238.98	Professional		$100.62	$137.60	$238.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $514.57 / $514.57	Facility		$481.38	$514.57	$514.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.20 / $1,183.50 / $1,183.50	Professional		$671.20	$1,183.50	$1,183.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $127.63 / $247.93	Facility		$93.10	$127.63	$247.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $161.66 / $352.81	Professional		$128.58	$161.66	$352.81
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 $102.63 / $138.00 / $233.08	Professional		$102.63	$138.00	$233.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $127.57 / $247.93	Facility		$93.10	$127.57	$247.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $148.26 / $279.83	Professional		$104.01	$148.26	$279.83
United Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $129.38 / $208.85	Professional		$95.58	$129.38	$208.85
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $90.00 / $255.60	Professional	25	$80.00	$90.00	$255.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $115.54 / $158.27	Professional		$98.56	$115.54	$158.27