Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.58 / $1,719.27 / $5,872.00	Facility		$295.58	$1,719.27	$5,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $159.55 / $289.12	Professional		$87.09	$159.55	$289.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.89 / $239.67 / $920.67	Facility		$114.89	$239.67	$920.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $199.35 / $322.91	Professional		$96.03	$199.35	$322.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $442.92 / $2,797.20	Facility		$101.42	$442.92	$2,797.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $99.61 / $199.22	Professional		$99.61	$99.61	$199.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $580.77 / $580.77	Facility		$102.39	$580.77	$580.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $191.76 / $342.00	Professional		$111.19	$191.76	$342.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $744.24	Facility		$55.00	$55.00	$744.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.27 / $1,760.40 / $2,078.63	Professional		$926.27	$1,760.40	$2,078.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.41 / $187.40 / $307.38	Facility		$98.41	$187.40	$307.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $206.38 / $443.41	Professional		$128.99	$206.38	$443.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $219.38 / $307.22	Professional		$103.22	$219.38	$307.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $187.56 / $307.38	Facility		$98.55	$187.56	$307.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $199.22 / $369.61	Professional		$113.40	$199.22	$369.61
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $205.37 / $300.99	Professional		$143.86	$205.37	$300.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $227.38 / $318.33	Professional		$203.46	$227.38	$318.33