Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.80 / $1,899.00 / $6,021.00	Facility		$248.80	$1,899.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $130.35 / $189.79	Professional		$40.97	$130.35	$189.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $129.41 / $251.81	Professional		$45.48	$129.41	$251.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $48.72 / $48.72	Facility		$48.72	$48.72	$48.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $46.46 / $46.46	Facility		$41.06	$46.46	$46.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $172.83 / $294.27	Professional		$56.68	$172.83	$294.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $307.85	Facility		$55.00	$55.00	$307.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.11 / $1,211.20 / $1,407.83	Professional		$625.11	$1,211.20	$1,407.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $125.58 / $259.70	Facility		$46.87	$125.58	$259.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $178.97 / $284.73	Professional		$60.97	$178.97	$284.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $217.70 / $224.00	Professional		$57.19	$217.70	$224.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $133.32 / $309.20	Facility		$46.87	$133.32	$309.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $175.09 / $308.54	Professional		$57.14	$175.09	$308.54
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $190.98 / $301.85	Professional		$142.05	$190.98	$301.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $155.50 / $220.90	Professional		$138.86	$155.50	$220.90