Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.80 / $361.58 / $4,474.00	Facility		$158.80	$361.58	$4,474.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $178.21 / $1,267.63	Professional		$176.45	$178.21	$1,267.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $205.16	Professional		$155.41	$176.45	$205.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $1,111.10 / $2,216.94	Facility		$439.00	$1,111.10	$2,216.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.16 / $190.16 / $190.16	Professional		$190.16	$190.16	$190.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $433.62 / $9,645.82	Facility		$132.96	$433.62	$9,645.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $247.03 / $639.60	Professional		$155.41	$247.03	$639.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $708.92 / $708.92 / $708.92	Facility		$708.92	$708.92	$708.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $243.50	Facility		$166.46	$176.45	$243.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $183.11	Professional		$176.45	$176.45	$183.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $542.03 / $1,272.84 / $1,413.42	Facility		$542.03	$1,272.84	$1,413.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.46 / $2,475.46 / $2,475.46	Professional		$2,475.46	$2,475.46	$2,475.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $208.22 / $500.84	Facility		$155.41	$208.22	$500.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $184.60 / $291.14	Professional		$176.45	$184.60	$291.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.78 / $204.93 / $406.79	Professional		$170.78	$204.93	$406.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $206.52 / $500.84	Facility		$176.45	$206.52	$500.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $225.99	Professional		$176.45	$176.45	$225.99
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $196.43	Professional		$176.45	$187.04	$196.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $247.03	Professional		$155.41	$176.45	$247.03