Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $2,090.00 / $7,513.00	Facility		$367.74	$2,090.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $304.22 / $482.11	Professional		$238.66	$304.22	$482.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $266.39 / $899.28	Facility		$145.72	$266.39	$899.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.70 / $325.52 / $474.30	Professional		$252.70	$325.52	$474.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $677.27 / $684.55 / $1,478.50	Facility		$677.27	$684.55	$1,478.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $276.50 / $354.87 / $520.85	Professional		$276.50	$354.87	$520.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $233.92 / $253.97 / $329.24	Facility		$233.92	$253.97	$329.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $370.23 / $568.08	Professional		$281.27	$370.23	$568.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,418.92	Facility		$55.00	$55.00	$1,418.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.48 / $2,515.60 / $2,915.03	Professional		$2,026.48	$2,515.60	$2,915.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.61 / $353.48 / $508.04	Facility		$259.61	$353.48	$508.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.70 / $461.36 / $628.12	Professional		$337.70	$461.36	$628.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.40 / $330.07 / $414.96	Professional		$244.40	$330.07	$414.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.61 / $353.93 / $511.72	Facility		$259.61	$353.93	$511.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.26 / $388.83 / $622.44	Professional		$293.26	$388.83	$622.44
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 $264.35 / $350.79 / $533.54	Professional		$264.35	$350.79	$533.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.22 / $325.52 / $455.74	Professional		$288.22	$325.52	$455.74