Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.51 / $2,166.00 / $6,189.00	Facility		$158.51	$2,166.00	$6,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $135.59 / $223.67	Professional		$76.38	$135.59	$223.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.41 / $508.02 / $1,100.00	Facility		$252.41	$508.02	$1,100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $152.53 / $249.94	Professional		$86.49	$152.53	$249.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $72.98 / $4,500.00	Facility		$45.91	$72.98	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $102.78 / $160.84	Professional		$87.55	$102.78	$160.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $90.93 / $203.95	Facility		$88.31	$90.93	$203.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $186.41 / $299.31	Professional		$107.04	$186.41	$299.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $633.72 / $16,394.00 / $16,394.00	Facility		$633.72	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $694.63 / $1,344.11 / $1,500.15	Professional		$694.63	$1,344.11	$1,500.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $168.61 / $295.92	Facility		$90.35	$168.61	$295.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $182.44 / $319.47	Professional		$114.03	$182.44	$319.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $187.90 / $411.98	Professional		$97.90	$187.90	$411.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $168.61 / $298.67	Facility		$90.35	$168.61	$298.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $191.97 / $319.20	Professional		$107.75	$191.97	$319.20
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 $132.09 / $176.12 / $274.36	Professional		$132.09	$176.12	$274.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $165.68 / $231.63	Professional		$146.59	$165.68	$231.63