Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $247.26 / $356.05	Facility		$163.21	$247.26	$356.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.84 / $197.48	Professional		$164.25	$164.84	$197.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $228.49 / $228.49	Professional		$197.10	$228.49	$228.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $284.70 / $562.45	Facility		$112.49	$284.70	$562.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $160.03 / $160.03	Professional		$160.03	$160.03	$160.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $187.69 / $22,642.74	Facility		$118.30	$187.69	$22,642.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $188.89 / $293.77	Professional		$145.57	$188.89	$293.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $163.68	Facility		$80.00	$80.00	$163.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $164.25 / $164.25	Facility		$154.96	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.56 / $761.40 / $821.25	Facility		$202.56	$761.40	$821.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,623.57 / $3,623.57 / $3,623.57	Professional		$3,623.57	$3,623.57	$3,623.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $164.25 / $240.51	Facility		$163.21	$164.25	$240.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $167.54 / $271.01	Professional		$164.25	$167.54	$271.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $180.68 / $287.44	Professional		$161.46	$180.68	$287.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $245.12	Facility		$164.25	$164.25	$245.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $190.52	Professional		$164.25	$164.25	$190.52
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $182.84	Professional		$164.25	$174.11	$182.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $164.25 / $229.95	Professional		$152.51	$164.25	$229.95