Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,818.38 / $6,918.31	Facility		$691.83	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $158.49 / $363.08	Professional		$58.88	$158.49	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $4,466.84	Facility		$1,230.27	$2,187.76	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $229.09	Professional		$54.95	$112.20	$229.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,548.82 / $3,467.37	Facility		$346.74	$1,548.82	$3,467.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $158.49 / $158.49	Facility		$52.48	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $446.68	Professional		$79.43	$229.09	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $28,840.32 / $28,840.32	Facility		$3,715.35	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $218.78 / $2,454.71	Facility		$61.66	$218.78	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $302.00	Professional		$60.26	$154.88	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $223.87	Professional		$32.36	$51.29	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $537.03	Professional		$218.78	$218.78	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $199.53 / $407.38	Facility		$63.10	$199.53	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $223.87 / $436.52	Professional		$75.86	$223.87	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $371.54	Professional		$128.82	$223.87	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18