Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.10 / $3,445.00 / $10,836.00	Facility		$142.10	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $138.32 / $209.25	Professional		$83.70	$138.32	$209.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $179.68 / $715.04	Facility		$93.63	$179.68	$715.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $153.15 / $232.17	Professional		$87.11	$153.15	$232.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $205.97 / $295.52	Professional		$168.48	$205.97	$295.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $76.13 / $171.06	Facility		$76.13	$76.13	$171.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $168.94 / $269.14	Professional		$99.14	$168.94	$269.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $471.49	Facility		$55.00	$55.00	$471.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $695.92 / $1,299.52 / $1,504.88	Professional		$695.92	$1,299.52	$1,504.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $151.75 / $241.80	Facility		$90.43	$151.75	$241.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $185.02 / $313.83	Professional		$115.64	$185.02	$313.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $163.69 / $209.60	Professional		$79.54	$163.69	$209.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $154.53 / $246.60	Facility		$90.43	$154.53	$246.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $179.08 / $311.95	Professional		$103.37	$179.08	$311.95
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $187.97 / $268.27	Professional		$138.47	$187.97	$268.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $148.80 / $234.75	Professional		$148.80	$148.80	$234.75