Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.34 / $3,500.00 / $12,119.51	Facility		$705.34	$3,500.00	$12,119.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.41 / $139.31 / $402.03	Facility	52	$90.41	$139.31	$402.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $496.13 / $801.42	Professional		$180.81	$496.13	$801.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $91.15 / $248.07 / $402.03	Professional	52	$91.15	$248.07	$402.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.35 / $4,046.07 / $7,676.45	Facility		$1,018.35	$4,046.07	$7,676.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $508.16 / $917.18	Professional		$164.57	$508.16	$917.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.84 / $1,688.95 / $5,319.79	Facility		$673.84	$1,688.95	$5,319.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $155.69 / $155.69	Facility		$155.69	$155.69	$155.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.54 / $604.54 / $604.54	Facility		$604.54	$604.54	$604.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.39 / $407.36 / $1,014.57	Professional		$207.39	$407.36	$1,014.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $859.61	Facility		$55.00	$55.00	$859.61
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $644.26 / $687.69 / $687.69	Facility	52	$644.26	$687.69	$687.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,434.00 / $4,779.22 / $5,225.72	Professional		$3,434.00	$4,779.22	$5,225.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $587.28 / $1,204.50	Facility		$198.07	$587.28	$1,204.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $716.12 / $964.01	Professional		$223.70	$716.12	$964.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.50 / $1,289.50 / $1,289.50	Professional		$1,289.50	$1,289.50	$1,289.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $607.45 / $1,244.65	Facility		$198.07	$607.45	$1,244.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $513.14 / $1,046.29	Professional		$216.03	$513.14	$1,046.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.23 / $645.64 / $1,064.21	Professional		$484.23	$645.64	$1,064.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $470.14 / $526.79 / $747.12	Professional		$470.14	$526.79	$747.12