Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.02 / $566.70 / $2,931.82	Facility		$281.02	$566.70	$2,931.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $309.92 / $600.00	Professional		$302.36	$309.92	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $295.97 / $480.00	Professional		$140.00	$295.97	$480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $210.60 / $807.30	Facility		$195.00	$210.60	$807.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $286.58 / $286.58 / $606.41	Facility		$286.58	$286.58	$606.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $343.90 / $554.17	Professional		$307.88	$343.90	$554.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.16 / $265.16 / $265.16	Facility		$265.16	$265.16	$265.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,117.34 / $1,117.34	Professional		$1,117.34	$1,117.34	$1,117.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $829.58 / $2,368.40 / $2,368.40	Facility		$829.58	$2,368.40	$2,368.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.92 / $2,216.92 / $3,651.83	Professional		$2,216.92	$2,216.92	$3,651.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.92 / $377.95 / $869.91	Facility		$309.92	$377.95	$869.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $382.50 / $394.63	Professional		$382.50	$382.50	$394.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,360.45 / $1,816.96 / $2,458.31	Facility		$1,360.45	$1,816.96	$2,458.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $336.27 / $502.69 / $527.82	Professional		$336.27	$502.69	$527.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.63 / $377.95 / $759.74	Facility		$308.63	$377.95	$759.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $417.36 / $1,117.34	Professional		$394.63	$417.36	$1,117.34
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $359.05	Professional		$359.05	$359.05	$359.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $263.25 / $292.31	Professional		$195.00	$263.25	$292.31