Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.24 / $2,496.00 / $7,316.00	Facility		$167.24	$2,496.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $144.29 / $290.68	Professional		$55.49	$144.29	$290.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.42 / $2,145.44 / $4,574.26	Facility		$1,187.42	$2,145.44	$4,574.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $124.15 / $244.59	Professional		$55.40	$124.15	$244.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $608.08 / $4,500.00	Facility		$175.00	$608.08	$4,500.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $159.58 / $159.58	Facility		$52.65	$159.58	$159.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Facility		$101.84	$101.84	$101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $220.49 / $428.49	Professional		$71.31	$220.49	$428.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $410.28 / $11,500.00 / $16,394.00	Facility		$410.28	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,320.85 / $1,320.85	Professional		$1,100.00	$1,320.85	$1,320.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $187.19 / $377.41	Facility		$61.48	$187.19	$377.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $172.22 / $269.57	Professional		$76.12	$172.22	$269.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.80 / $219.80 / $219.80	Professional		$219.80	$219.80	$219.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $187.69 / $377.41	Facility		$61.66	$187.69	$377.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $223.66 / $437.18	Professional		$79.52	$223.66	$437.18
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,100.00 / $4,554.00	Facility		$600.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.91 / $284.20 / $454.06	Professional		$211.91	$284.20	$454.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $143.18 / $202.85	Professional		$127.82	$143.18	$202.85