Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.94 / $3,570.00 / $9,897.00	Facility		$834.94	$3,570.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.34 / $958.96 / $1,164.18	Professional		$866.34	$958.96	$1,164.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.81 / $492.26 / $1,083.15	Facility		$267.81	$492.26	$1,083.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.87 / $225.87 / $225.87	Professional		$225.87	$225.87	$225.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $903.79 / $903.79	Facility		$423.00	$903.79	$903.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $255.82 / $255.82 / $255.82	Facility		$255.82	$255.82	$255.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.17 / $1,052.80 / $1,657.97	Professional		$507.17	$1,052.80	$1,657.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,843.90	Facility		$55.00	$55.00	$9,843.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,626.56 / $5,971.20 / $6,740.33	Professional		$5,626.56	$5,971.20	$6,740.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.62 / $878.96 / $1,666.67	Facility		$337.62	$878.96	$1,666.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.43 / $745.43 / $745.43	Professional		$745.43	$745.43	$745.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.70 / $476.70 / $476.70	Professional		$476.70	$476.70	$476.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.62 / $885.92 / $2,014.06	Facility		$337.62	$885.92	$2,014.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.34 / $1,092.47 / $1,657.97	Professional		$511.34	$1,092.47	$1,657.97
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 $281.37 / $371.54 / $612.67	Professional		$281.37	$371.54	$612.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.88 / $803.88 / $1,085.24	Professional		$803.88	$803.88	$1,085.24