Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $912.01	Professional		$478.63	$602.56	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $7,943.28	Facility		$2,238.72	$4,168.69	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $851.14	Professional		$489.78	$616.60	$851.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $4,466.84	Facility		$524.81	$2,454.71	$4,466.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,148.15	Professional		$537.03	$707.95	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $4,570.88	Professional		$3,981.07	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $4,677.35	Facility		$524.81	$912.01	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $912.01	Professional		$524.81	$691.83	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,096.48 / $1,412.54	Professional		$6.03	$1,096.48	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $1,230.27	Facility		$501.19	$691.83	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,148.15	Professional		$524.81	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $912.01	Professional		$436.52	$602.56	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Professional		$467.74	$501.19	$501.19