Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.01 / $2,131.00 / $6,762.00	Facility		$510.01	$2,131.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.81 / $530.21 / $915.72	Professional		$458.81	$530.21	$915.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.25 / $1,530.39 / $5,590.17	Facility		$835.25	$1,530.39	$5,590.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.64 / $593.87 / $832.98	Professional		$479.64	$593.87	$832.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $961.52 / $5,069.04	Facility		$194.13	$961.52	$5,069.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,153.96 / $1,153.96 / $1,153.96	Professional		$1,153.96	$1,153.96	$1,153.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $468.26 / $2,831.82 / $2,831.82	Facility		$468.26	$2,831.82	$2,831.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Facility		$591.09	$591.09	$591.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.76 / $691.70 / $1,081.11	Professional		$511.76	$691.70	$1,081.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $119.14 / $646.16 / $646.16	Facility	AS	$119.14	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.52 / $3,865.44 / $4,479.38	Professional		$3,783.52	$3,865.44	$4,479.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.37 / $624.41 / $1,044.54	Facility		$486.37	$624.41	$1,044.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.49 / $770.99 / $956.02	Professional		$642.49	$770.99	$956.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $618.50 / $618.50 / $618.50	Professional		$618.50	$618.50	$618.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.82 / $634.92 / $1,094.88	Facility		$489.82	$634.92	$1,094.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $168.84	Facility	AS	$58.83	$58.83	$168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.54 / $713.66 / $1,095.16	Professional		$534.54	$713.66	$1,095.16
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.34 / $554.42 / $885.15	Professional		$415.34	$554.42	$885.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $497.92 / $692.37	Professional		$438.68	$497.92	$692.37