Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.78 / $2,496.00 / $6,246.00	Facility		$241.78	$2,496.00	$6,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $189.58 / $345.88	Professional		$89.49	$189.58	$345.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.85 / $4,059.90 / $7,805.48	Facility		$2,016.85	$4,059.90	$7,805.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $171.63 / $279.45	Professional		$84.67	$171.63	$279.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.36 / $1,289.86 / $4,229.72	Facility		$294.36	$1,289.86	$4,229.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $94.61 / $207.90	Professional		$94.61	$94.61	$207.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $2,473.98 / $2,473.98	Facility		$80.34	$2,473.98	$2,473.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $161.41	Facility		$161.41	$161.41	$161.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $229.09 / $419.96	Professional		$110.83	$229.09	$419.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $11,500.00 / $16,394.00	Facility		$649.79	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $1,658.00 / $1,824.23	Professional		$1,658.00	$1,658.00	$1,824.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $226.27 / $387.50	Facility		$97.24	$226.27	$387.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $241.42 / $377.87	Professional		$120.26	$241.42	$377.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.70 / $300.70 / $300.70	Professional		$300.70	$300.70	$300.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.64 / $226.27 / $387.82	Facility		$97.64	$226.27	$387.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $236.48 / $434.25	Professional		$119.27	$236.48	$434.25
United Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $2,478.00 / $4,787.00	Facility		$722.00	$2,478.00	$4,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $263.52 / $421.63	Professional		$195.70	$263.52	$421.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.17 / $201.13 / $284.36	Professional		$179.17	$201.13	$284.36