Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $512.86 / $977.24	Professional		$109.65	$512.86	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,000.00 / $2,089.30	Facility		$524.81	$1,000.00	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $426.58 / $758.58	Professional		$112.20	$426.58	$758.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $707.95 / $5,011.87	Facility		$123.03	$707.95	$5,011.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $602.56 / $1,412.54	Professional		$144.54	$602.56	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,905.46	Facility		$54.95	$56.23	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,128.61	Professional		$4,365.16	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,258.93 / $6,025.60	Facility		$134.90	$1,258.93	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $524.81 / $1,071.52	Professional		$112.20	$524.81	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,288.25 / $1,819.70	Professional		$3.02	$1,288.25	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $501.19 / $1,258.93	Facility		$112.20	$501.19	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $549.54 / $1,412.54	Professional		$144.54	$549.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $436.52 / $1,288.25	Professional		$120.23	$436.52	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $602.56	Professional		$575.44	$602.56	$602.56