Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $3,213.00 / $11,747.64	Facility		$706.00	$3,213.00	$11,747.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.37 / $391.60 / $625.15	Professional		$355.37	$391.60	$625.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,075.37 / $9,092.56 / $18,364.59	Facility		$5,075.37	$9,092.56	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.86 / $435.65 / $611.07	Professional		$351.86	$435.65	$611.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $8,100.00 / $14,437.12	Facility		$673.20	$8,100.00	$14,437.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $408.95 / $439.75 / $776.98	Professional		$408.95	$439.75	$776.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $355.27 / $8,464.19 / $8,464.19	Facility		$355.27	$8,464.19	$8,464.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.04 / $443.04 / $443.04	Facility		$443.04	$443.04	$443.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.84 / $537.33 / $860.51	Professional		$391.84	$537.33	$860.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.16 / $26,542.00 / $29,777.20	Facility		$1,439.16	$26,542.00	$29,777.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,959.35 / $3,959.35 / $3,959.35	Professional		$3,959.35	$3,959.35	$3,959.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.47 / $547.95 / $857.99	Facility		$381.47	$547.95	$857.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $476.30 / $571.55 / $708.73	Professional		$476.30	$571.55	$708.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $360.57 / $475.48 / $674.26	Professional		$360.57	$475.48	$674.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.47 / $559.33 / $879.80	Facility		$381.47	$559.33	$879.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.30 / $552.76 / $837.50	Professional		$398.30	$552.76	$837.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.22 / $425.93 / $689.61	Professional		$320.22	$425.93	$689.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $371.77 / $516.23	Professional		$325.20	$371.77	$516.23