Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $2,550.00 / $7,880.51	Facility		$279.02	$2,550.00	$7,880.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $230.11 / $361.54	Professional		$155.66	$230.11	$361.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,189.97 / $2,113.80 / $4,278.00	Facility		$1,189.97	$2,113.80	$4,278.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $244.09 / $361.23	Professional		$168.37	$244.09	$361.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $1,641.47 / $4,500.00	Facility		$179.20	$1,641.47	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $205.98 / $205.98 / $365.25	Professional		$205.98	$205.98	$365.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $235.43 / $264.70	Facility		$167.72	$235.43	$264.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $282.42 / $435.64	Professional		$195.47	$282.42	$435.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.97 / $16,394.00 / $16,394.00	Facility		$923.97	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.36 / $1,908.00 / $2,228.03	Professional		$1,335.36	$1,908.00	$2,228.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $246.15 / $380.18	Facility		$173.20	$246.15	$380.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $333.91 / $478.30	Professional		$224.40	$333.91	$478.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $251.29 / $312.41	Professional		$180.95	$251.29	$312.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $246.99 / $384.87	Facility		$173.20	$246.99	$384.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $303.63 / $486.09	Professional		$204.77	$303.63	$486.09
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $2,045.00 / $4,509.00	Facility		$534.00	$2,045.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.05 / $280.06 / $419.43	Professional		$210.05	$280.06	$419.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $247.75 / $346.85	Professional		$219.47	$247.75	$346.85