Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.83 / $2,071.00 / $7,316.00	Facility		$226.83	$2,071.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $191.25 / $291.47	Professional		$126.62	$191.25	$291.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $222.18 / $882.77	Facility		$121.60	$222.18	$882.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $212.38 / $299.79	Professional		$136.66	$212.38	$299.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $128.53 / $182.08	Professional		$109.79	$128.53	$182.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $607.99 / $607.99	Facility		$126.07	$607.99	$607.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $235.39 / $349.41	Professional		$152.63	$235.39	$349.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $759.72 / $9,102.00 / $11,500.00	Facility		$759.72	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.83 / $1,655.36 / $1,930.13	Professional		$1,089.83	$1,655.36	$1,930.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $212.53 / $315.66	Facility		$139.91	$212.53	$315.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.76 / $278.58 / $414.54	Professional		$182.76	$278.58	$414.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $214.16 / $271.87	Professional		$132.05	$214.16	$271.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $212.53 / $320.26	Facility		$139.91	$212.53	$320.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $244.17 / $407.92	Professional		$157.93	$244.17	$407.92
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $236.39 / $349.64	Professional		$177.05	$236.39	$349.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $214.21 / $299.89	Professional		$190.21	$214.21	$299.89