Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $144.68 / $19,507.73	Facility		$91.02	$144.68	$19,507.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $116.00	Professional		$91.34	$92.25	$116.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $91.02 / $91.02	Professional		$89.39	$91.02	$91.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $191.12 / $381.33	Facility		$78.53	$191.12	$381.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $94.24 / $94.24	Professional		$94.24	$94.24	$94.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $92.71 / $12,024.77	Facility		$76.31	$92.71	$12,024.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $97.04 / $136.75	Professional		$91.34	$97.04	$136.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $13,316.86 / $13,316.86 / $13,316.86	Facility		$13,316.86	$13,316.86	$13,316.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $91.34 / $91.34	Facility		$86.17	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.91 / $446.95 / $456.70	Facility		$118.91	$446.95	$456.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $389.52 / $389.52	Professional		$389.52	$389.52	$389.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $91.34 / $163.62	Facility		$91.02	$91.34	$163.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $93.17 / $150.71	Professional		$91.34	$93.17	$150.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $103.30 / $179.10	Professional		$91.34	$103.30	$179.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $167.48	Facility		$91.34	$91.34	$167.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $110.28	Professional		$91.34	$91.34	$110.28
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $96.82 / $101.68	Professional		$91.34	$96.82	$101.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $91.34 / $127.88	Professional		$88.22	$91.34	$127.88