Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.12 / $3,102.00 / $10,546.00	Facility		$422.12	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $257.70 / $387.04	Professional		$128.57	$257.70	$387.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,131.96 / $4,292.00	Facility		$1,100.00	$2,131.96	$4,292.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $244.60 / $475.82	Professional		$118.81	$244.60	$475.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $608.08 / $3,161.18	Facility		$225.00	$608.08	$3,161.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $176.84 / $176.84	Professional		$176.84	$176.84	$176.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.17 / $113.17 / $113.17	Facility		$113.17	$113.17	$113.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $943.63 / $943.63	Facility		$943.63	$943.63	$943.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $257.95 / $477.59	Professional		$136.47	$257.95	$477.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $888.72 / $26,542.00 / $26,542.00	Facility		$888.72	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,133.04 / $2,507.55	Professional		$1,575.00	$2,133.04	$2,507.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $281.08 / $493.10	Facility		$130.85	$281.08	$493.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $317.02 / $518.78	Professional		$164.00	$317.02	$518.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $208.10 / $208.10	Professional		$208.10	$208.10	$208.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $287.19 / $515.76	Facility		$129.97	$287.19	$515.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $277.29 / $539.38	Professional		$137.71	$277.29	$539.38
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $329.68 / $506.45	Professional		$234.90	$329.68	$506.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.98 / $275.11 / $390.84	Professional		$245.98	$275.11	$390.84