Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,326.42 / $10,234.00	Facility		$714.00	$3,326.42	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $431.17 / $740.36	Professional		$369.00	$431.17	$740.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.42 / $2,251.06 / $4,900.18	Facility		$1,331.42	$2,251.06	$4,900.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.38 / $483.34 / $677.96	Professional		$390.38	$483.34	$677.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $655.16 / $2,308.42	Facility		$325.80	$655.16	$2,308.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $224.43 / $292.63 / $371.11	Professional		$224.43	$292.63	$371.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $393.97 / $3,116.48 / $3,116.48	Facility		$393.97	$3,116.48	$3,116.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Facility		$484.32	$484.32	$484.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.83 / $564.00 / $881.45	Professional		$422.83	$564.00	$881.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,017.35	Facility		$55.00	$55.00	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.77 / $380.79 / $380.79	Facility	AS	$96.77	$380.79	$380.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,082.08 / $3,144.72 / $3,689.10	Professional		$3,082.08	$3,144.72	$3,689.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.21 / $506.91 / $860.34	Facility		$394.21	$506.91	$860.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $526.44 / $631.73 / $783.34	Professional		$526.44	$631.73	$783.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $558.40 / $558.40 / $703.41	Professional		$558.40	$558.40	$703.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.32 / $520.85 / $886.45	Facility		$398.32	$520.85	$886.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $138.04	Facility	AS	$48.13	$48.13	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.59 / $581.90 / $888.35	Professional		$435.59	$581.90	$888.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.10 / $464.21 / $735.92	Professional		$343.10	$464.21	$735.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $408.05 / $566.35	Professional		$359.44	$408.05	$566.35