Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $150.15 / $23,907.00	Facility		$85.12	$150.15	$23,907.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.97 / $117.10	Professional		$85.12	$85.97	$117.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $85.25	Professional		$85.25	$85.25	$85.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $188.26 / $371.90	Facility		$74.38	$188.26	$371.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $83.62 / $83.62	Professional		$83.62	$83.62	$83.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $85.12 / $341.22	Facility		$82.46	$85.12	$341.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $92.76 / $121.62	Professional		$82.46	$92.76	$121.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $8,593.20 / $8,593.20 / $8,593.20	Facility		$8,593.20	$8,593.20	$8,593.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $85.12 / $85.12	Facility		$80.30	$85.12	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Professional		$85.12	$85.12	$85.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $419.35 / $425.60	Facility		$111.56	$419.35	$425.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $370.33 / $370.33 / $370.33	Professional		$370.33	$370.33	$370.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.25 / $158.40	Facility		$85.12	$85.25	$158.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $86.82 / $144.75	Professional		$85.12	$86.82	$144.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $94.90 / $172.90	Professional		$84.80	$94.90	$172.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $162.44	Facility		$85.12	$85.12	$162.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $103.07	Professional		$85.12	$85.12	$103.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $90.23 / $94.76	Professional		$85.12	$90.23	$94.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $85.12 / $119.17	Professional		$83.88	$85.12	$119.17