Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.25 / $2,335.00 / $6,246.00	Facility		$441.25	$2,335.00	$6,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $281.18 / $431.01	Professional		$190.81	$281.18	$431.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,333.17 / $2,450.34 / $4,900.67	Facility		$1,333.17	$2,450.34	$4,900.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $277.07 / $440.91	Professional		$176.97	$277.07	$440.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $517.25 / $1,815.02 / $3,370.81	Facility		$517.25	$1,815.02	$3,370.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $193.04 / $590.05 / $590.05	Facility		$193.04	$590.05	$590.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $346.42 / $513.09	Professional		$223.95	$346.42	$513.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,075.21 / $16,394.00 / $16,394.00	Facility		$1,075.21	$16,394.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $99.91 / $107.52 / $107.52	Facility	AS	$99.91	$107.52	$107.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.88 / $2,443.28 / $2,884.43	Professional		$1,574.88	$2,443.28	$2,884.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.89 / $318.08 / $480.39	Facility		$205.89	$318.08	$480.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.86 / $414.04 / $616.09	Professional		$266.86	$414.04	$616.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $319.27 / $446.55	Professional		$208.01	$319.27	$446.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.89 / $318.08 / $492.28	Facility		$205.89	$318.08	$492.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $363.49 / $587.49	Professional		$233.04	$363.49	$587.49
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.76 / $362.34 / $530.09	Professional		$271.76	$362.34	$530.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.69 / $319.27 / $446.98	Professional		$282.69	$319.27	$446.98