Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,467.00 / $7,542.00	Facility		$521.00	$2,467.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $166.92 / $266.26	Professional		$106.18	$166.92	$266.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $492.00 / $492.00	Professional		$418.20	$492.00	$492.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $3,407.04 / $8,000.00	Facility		$167.34	$3,407.04	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $174.66 / $261.20	Professional		$167.34	$174.66	$261.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $191.30 / $191.30	Facility		$191.30	$191.30	$191.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $213.75 / $796.70	Professional		$171.00	$213.75	$796.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $379.29 / $773.56 / $843.32	Facility		$379.29	$773.56	$843.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.72 / $1,242.96 / $1,448.78	Professional		$1,208.72	$1,242.96	$1,448.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.04 / $233.26 / $366.17	Facility		$166.04	$233.26	$366.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $189.99 / $219.25	Professional		$160.18	$189.99	$219.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.44 / $501.81 / $635.37	Professional		$363.44	$501.81	$635.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $231.91 / $360.98	Facility		$155.44	$231.91	$360.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $160.18 / $303.66	Professional		$96.38	$160.18	$303.66
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $181.82 / $414.67	Professional		$130.55	$181.82	$414.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $219.25 / $299.54	Professional		$156.72	$219.25	$299.54