Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.90 / $1,871.00 / $6,158.00	Facility		$139.90	$1,871.00	$6,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $109.99 / $189.80	Professional		$63.54	$109.99	$189.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.79 / $276.07 / $616.79	Facility		$130.79	$276.07	$616.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $120.50 / $200.38	Professional		$68.33	$120.50	$200.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $71.89 / $71.89	Facility		$71.89	$71.89	$71.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $35.28 / $70.55	Professional		$35.28	$35.28	$70.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $75.41 / $166.76	Facility		$70.87	$75.41	$166.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $150.62 / $250.75	Professional		$84.18	$150.62	$250.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $517.44	Facility		$55.00	$55.00	$517.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $1,175.18 / $1,213.96	Professional		$671.00	$1,175.18	$1,213.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $137.25 / $256.97	Facility		$71.54	$137.25	$256.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $143.62 / $248.04	Professional		$87.68	$143.62	$248.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $147.26 / $280.29	Professional		$77.61	$147.26	$280.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $137.58 / $263.44	Facility		$71.54	$137.58	$263.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $156.11 / $265.81	Professional		$85.62	$156.11	$265.81
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 $108.27 / $144.36 / $240.30	Professional		$108.27	$144.36	$240.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $132.90 / $185.90	Professional		$117.61	$132.90	$185.90