Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.73 / $2,017.00 / $6,691.00	Facility		$304.73	$2,017.00	$6,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.00 / $2,238.00 / $3,001.50	Facility	50	$741.00	$2,238.00	$3,001.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $211.74 / $374.48	Professional		$74.48	$211.74	$374.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,673.00 / $4,277.00	Facility		$527.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $213.20 / $485.59	Professional		$77.83	$213.20	$485.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,875.15 / $1,875.15 / $4,050.00	Facility		$1,875.15	$1,875.15	$4,050.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $483.14 / $483.14	Facility		$68.73	$483.14	$483.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $200.00 / $486.90	Professional		$89.39	$200.00	$486.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $555.02 / $559.28	Facility		$55.00	$555.02	$559.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.01 / $2,532.38 / $2,809.18	Professional		$1,127.01	$2,532.38	$2,809.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $247.57 / $469.28	Facility		$79.73	$247.57	$469.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $341.11 / $540.89	Professional		$102.61	$341.11	$540.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $431.50 / $561.91	Professional		$27.40	$431.50	$561.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $251.42 / $482.71	Facility		$79.73	$251.42	$482.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $236.07 / $602.00	Professional		$92.16	$236.07	$602.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $301.70 / $501.76	Professional		$221.38	$301.70	$501.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.19 / $277.39 / $394.34	Professional		$248.19	$277.39	$394.34