Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $192.54 / $495.76	Facility		$70.73	$192.54	$495.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $147.50 / $290.20	Professional		$139.31	$147.50	$290.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $233.96 / $311.94	Professional		$155.97	$233.96	$311.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $148.46 / $185.74	Professional		$148.46	$148.46	$185.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $63.94 / $228.36	Facility		$59.79	$63.94	$228.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $249.55 / $311.94	Professional		$194.53	$249.55	$311.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $207.91 / $207.91 / $311.94	Facility		$207.91	$207.91	$311.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $194.92	Professional		$142.29	$142.29	$194.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.96 / $1,728.76 / $1,728.76	Facility		$1,620.96	$1,728.76	$1,728.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.80 / $2,058.80 / $2,427.15	Professional		$2,058.80	$2,058.80	$2,427.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $217.39 / $311.94	Facility		$100.47	$217.39	$311.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $280.75 / $415.92	Professional		$190.91	$280.75	$415.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $327.54 / $545.89	Professional		$296.33	$327.54	$545.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $208.43 / $311.94	Facility		$100.47	$208.43	$311.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $207.79	Professional		$142.29	$142.29	$207.79
United Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $187.54 / $223.26	Professional		$129.69	$187.54	$223.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $189.42 / $311.94	Professional		$186.89	$189.42	$311.94