Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.25 / $2,124.00 / $8,002.00	Facility		$421.25	$2,124.00	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $124.09 / $195.47	Professional		$104.75	$124.09	$195.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,719.49 / $5,820.83 / $18,989.00	Facility		$2,719.49	$5,820.83	$18,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $359.16 / $359.16	Professional		$305.29	$359.16	$359.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $515.36 / $1,598.40 / $10,382.78	Facility		$515.36	$1,598.40	$10,382.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $128.61 / $350.81	Professional		$123.10	$128.61	$350.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $151.51 / $151.51	Facility		$151.51	$151.51	$151.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $167.64 / $263.91	Professional		$123.43	$167.64	$263.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $2,000.00	Facility		$55.00	$1,300.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.59 / $1,634.59 / $1,634.59	Professional		$1,634.59	$1,634.59	$1,634.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.91 / $149.53 / $266.97	Facility		$112.91	$149.53	$266.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $183.71 / $5,306.00	Professional		$136.66	$183.71	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $555.00 / $555.00	Professional		$555.00	$555.00	$555.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $150.00 / $266.97	Facility		$114.34	$150.00	$266.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $169.05 / $264.16	Professional		$125.07	$169.05	$264.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,600.00	Facility		$1,693.00	$5,210.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $136.16 / $215.07	Professional		$99.09	$136.16	$215.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $162.10 / $218.84	Professional		$162.10	$162.10	$218.84