Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $564.42 / $1,076.00	Facility		$119.01	$564.42	$1,076.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $101.78 / $135.22	Professional		$85.59	$101.78	$135.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $93.95 / $109.61	Professional		$42.28	$93.95	$109.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.12 / $438.45 / $820.53	Facility		$169.12	$438.45	$820.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $82.99 / $97.09	Professional		$5.00	$82.99	$97.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $250.54 / $534.85	Facility		$156.59	$250.54	$534.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $144.69 / $219.23	Professional		$109.61	$144.69	$219.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $154.24 / $154.24 / $154.24	Facility		$154.24	$154.24	$154.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.71 / $311.45 / $697.54	Facility		$85.71	$311.45	$697.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $204.38	Professional		$59.04	$82.33	$204.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $743.80 / $743.80	Facility		$250.54	$743.80	$743.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $162.75 / $236.72	Professional		$140.93	$162.75	$236.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $156.59 / $189.47	Facility		$114.04	$156.59	$189.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $156.59 / $203.57	Professional		$140.93	$156.59	$203.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $199.80 / $474.53	Facility		$146.00	$199.80	$474.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $264.60 / $829.91	Facility		$93.75	$264.60	$829.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $94.70 / $156.59	Professional		$59.04	$94.70	$156.59
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $65.77 / $93.95	Professional		$51.66	$65.77	$93.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $156.59	Professional		$31.98	$31.98	$156.59