Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $1,997.31 / $7,250.99	Facility		$569.00	$1,997.31	$7,250.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.33 / $46.92 / $241.42	Facility	53	$30.33	$46.92	$241.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $638.71 / $1,137.65	Professional		$148.71	$638.71	$1,137.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.72 / $2,223.06 / $4,755.66	Facility		$1,350.72	$2,223.06	$4,755.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $659.45 / $1,294.38	Professional		$138.30	$659.45	$1,294.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,641.47 / $5,069.04	Facility		$748.00	$1,641.47	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $1,079.34 / $1,079.34	Facility		$129.34	$1,079.34	$1,079.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $359.68 / $1,563.83	Professional		$171.96	$359.68	$1,563.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,191.96	Facility		$55.00	$55.00	$1,191.96
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $135.34 / $144.50 / $144.50	Facility	53	$135.34	$144.50	$144.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.72 / $1,222.20 / $6,888.08	Professional		$1,096.72	$1,222.20	$6,888.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.07 / $641.28 / $1,481.44	Facility		$147.07	$641.28	$1,481.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.97 / $871.74 / $1,386.86	Professional		$187.97	$871.74	$1,386.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $268.42 / $1,011.83	Professional		$129.85	$268.42	$1,011.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.07 / $679.95 / $1,861.23	Facility		$147.07	$679.95	$1,861.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $460.41 / $1,628.99	Professional		$175.79	$460.41	$1,628.99
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.06 / $1,119.88 / $1,781.64	Professional		$770.06	$1,119.88	$1,781.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $754.45 / $1,076.21	Professional		$676.37	$754.45	$1,076.21