Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.15 / $2,128.00 / $8,883.00	Facility		$220.15	$2,128.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $188.62 / $273.08	Professional		$89.58	$188.62	$273.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.79 / $2,528.25 / $4,501.92	Facility		$1,141.79	$2,528.25	$4,501.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $161.88 / $285.08	Professional		$77.04	$161.88	$285.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $206.67 / $206.67	Professional		$206.67	$206.67	$206.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Facility		$78.47	$78.47	$78.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $202.67 / $391.87	Professional		$99.23	$202.67	$391.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.15 / $12,000.00 / $12,000.00	Facility		$475.15	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.00 / $2,322.16 / $2,322.16	Professional		$1,603.00	$2,322.16	$2,322.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $206.16 / $473.43	Facility		$92.34	$206.16	$473.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $231.70 / $311.89	Professional		$104.70	$231.70	$311.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $179.05 / $363.96	Professional		$81.59	$179.05	$363.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $214.75 / $487.40	Facility		$92.34	$214.75	$487.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $214.41 / $417.82	Professional		$101.72	$214.41	$417.82
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $5,925.00	Facility		$365.00	$1,529.00	$5,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $256.41 / $393.68	Professional		$164.12	$256.41	$393.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $171.80 / $241.72	Professional		$152.11	$171.80	$241.72