Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $460.75 / $1,277.96	Facility		$162.97	$460.75	$1,277.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $165.44 / $246.92	Professional		$89.05	$165.44	$246.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $66.67 / $86.42	Professional		$66.67	$66.67	$86.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.61 / $716.72 / $1,293.85	Facility		$271.61	$716.72	$1,293.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $130.87 / $168.67	Professional		$5.00	$130.87	$168.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $243.21 / $370.38 / $887.79	Facility		$243.21	$370.38	$887.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $228.15 / $345.69	Professional		$172.84	$228.15	$345.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $112.40 / $213.25	Facility		$112.40	$112.40	$213.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.71 / $368.44 / $1,099.90	Facility		$85.71	$368.44	$1,099.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $322.02	Professional		$59.04	$60.16	$322.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $395.07 / $1,172.86 / $1,172.86	Facility		$395.07	$1,172.86	$1,172.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $256.55 / $373.17	Professional		$222.23	$256.55	$373.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.78 / $246.92 / $296.30	Facility		$177.78	$246.92	$296.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $246.92 / $321.00	Professional		$209.88	$246.92	$321.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $225.51 / $320.33 / $416.59	Facility		$225.51	$320.33	$416.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $343.22 / $1,309.57	Facility		$93.75	$343.22	$1,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $165.73 / $246.92	Professional		$59.04	$165.73	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $103.71 / $148.15	Professional		$90.40	$103.71	$148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $246.92	Professional		$31.98	$31.98	$246.92