Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.92 / $1,827.00 / $6,021.00	Facility		$324.92	$1,827.00	$6,021.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $166.74 / $204.09 / $317.93	Facility	54	$166.74	$204.09	$317.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $277.74 / $488.13	Professional		$229.17	$277.74	$488.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $167.93 / $666.84	Facility		$93.71	$167.93	$666.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $311.29 / $449.70	Professional		$245.93	$311.29	$449.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $298.20 / $920.60	Facility		$225.24	$298.20	$920.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $295.45 / $370.99 / $505.89	Professional		$295.45	$370.99	$505.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $264.44 / $264.44	Facility		$80.00	$264.44	$264.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $451.20 / $451.20	Facility		$451.20	$451.20	$451.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.18 / $348.25 / $538.01	Professional		$264.18	$348.25	$538.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,415.36	Facility		$55.00	$55.00	$1,415.36
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $875.28 / $990.75 / $990.75	Facility	54	$875.28	$990.75	$990.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.36 / $2,236.16 / $2,610.90	Professional		$1,965.36	$2,236.16	$2,610.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.31 / $315.56 / $506.72	Facility		$250.31	$315.56	$506.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $418.43 / $533.50	Professional		$343.71	$418.43	$533.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $319.16 / $491.58 / $1,047.28	Professional		$319.16	$491.58	$1,047.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.31 / $316.97 / $521.13	Facility		$250.31	$316.97	$521.13
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $561.46	Facility	54	$315.83	$315.83	$561.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.31 / $367.66 / $568.94	Professional		$272.31	$367.66	$568.94
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.60 / $294.79 / $455.90	Professional		$220.60	$294.79	$455.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $286.87 / $403.87	Professional		$255.09	$286.87	$403.87