Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.72 / $2,124.00 / $6,762.00	Facility		$373.72	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $219.11 / $343.15	Professional		$122.76	$219.11	$343.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.25 / $300.45 / $1,225.83	Facility		$170.25	$300.45	$1,225.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $232.37 / $422.32	Professional		$113.86	$232.37	$422.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $169.47 / $489.30	Professional		$116.27	$169.47	$489.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.54 / $108.54 / $108.54	Facility		$108.54	$108.54	$108.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.27 / $289.27 / $289.27	Facility		$289.27	$289.27	$289.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $256.88 / $404.73	Professional		$131.61	$256.88	$404.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $847.50	Facility		$55.00	$55.00	$847.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $994.49 / $1,895.76 / $2,229.00	Professional		$994.49	$1,895.76	$2,229.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.63 / $236.31 / $414.49	Facility		$120.63	$236.31	$414.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $281.80 / $448.32	Professional		$156.43	$281.80	$448.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $199.00 / $199.00	Professional		$199.00	$199.00	$199.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.48 / $241.57 / $429.70	Facility		$120.48	$241.57	$429.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $264.22 / $460.67	Professional		$133.78	$264.22	$460.67
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $261.64 / $418.64	Professional		$189.52	$261.64	$418.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.64 / $244.65 / $347.34	Professional		$218.64	$244.65	$347.34