Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.91 / $2,071.00 / $6,762.00	Facility		$368.91	$2,071.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $218.11 / $432.08	Professional		$101.48	$218.11	$432.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $174.45 / $407.26	Facility		$98.13	$174.45	$407.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $284.20 / $508.38	Professional		$97.77	$284.20	$508.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $64.54 / $4,100.00	Facility		$50.83	$64.54	$4,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $140.76 / $140.76	Facility		$97.30	$140.76	$140.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $100.15 / $100.15	Facility		$100.15	$100.15	$100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $227.91 / $502.52	Professional		$114.37	$227.91	$502.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $720.06 / $12,000.00 / $12,000.00	Facility		$720.06	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.98 / $2,470.80 / $2,925.08	Professional		$1,310.98	$2,470.80	$2,925.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $268.04 / $473.86	Facility		$109.60	$268.04	$473.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $368.62 / $586.44	Professional		$134.15	$368.62	$586.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.10 / $317.10 / $317.10	Professional		$317.10	$317.10	$317.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $268.12 / $516.99	Facility		$109.60	$268.12	$516.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $273.24 / $563.45	Professional		$116.09	$273.24	$563.45
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 $230.83 / $330.51 / $549.67	Professional		$230.83	$330.51	$549.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $320.06 / $453.87	Professional		$286.01	$320.06	$453.87