Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $122.84 / $190.20	Facility		$78.45	$122.84	$190.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $97.83	Professional		$79.00	$79.79	$97.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $94.80 / $94.80	Professional		$75.20	$94.80	$94.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $164.64 / $325.25	Facility		$65.05	$164.64	$325.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $85.52 / $85.52	Professional		$85.52	$85.52	$85.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $86.40 / $6,486.23	Facility		$61.65	$86.40	$6,486.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $89.64 / $127.44	Professional		$79.00	$89.64	$127.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,689.18 / $7,689.18 / $7,689.18	Facility		$7,689.18	$7,689.18	$7,689.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $79.00 / $79.00	Facility		$74.52	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.04 / $376.05 / $395.00	Facility		$100.04	$376.05	$395.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,210.38 / $6,210.38 / $6,210.38	Professional		$6,210.38	$6,210.38	$6,210.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $79.00 / $134.28	Facility		$78.45	$79.00	$134.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $80.58 / $138.00	Professional		$79.00	$80.58	$138.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $89.79 / $144.19	Professional		$79.00	$89.79	$144.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $137.44	Facility		$79.00	$79.00	$137.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $93.54	Professional		$79.00	$79.00	$93.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $87.94	Professional		$79.00	$83.74	$87.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $79.00 / $110.60	Professional		$74.83	$79.00	$110.60