Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,124.00 / $6,762.00	Facility		$352.00	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $278.12 / $385.87	Professional		$182.22	$278.12	$385.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $305.00 / $1,228.04	Facility		$178.59	$305.00	$1,228.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.17 / $263.50 / $444.93	Professional		$170.17	$263.50	$444.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $372.98 / $372.98 / $372.98	Professional		$372.98	$372.98	$372.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $255.80 / $255.80	Facility		$164.06	$255.80	$255.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $262.80 / $262.80	Facility		$262.80	$262.80	$262.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $313.67 / $519.28	Professional		$203.00	$313.67	$519.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,288.32	Facility		$55.00	$55.00	$1,288.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.16 / $1,995.04 / $2,313.83	Professional		$1,334.16	$1,995.04	$2,313.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $289.05 / $521.99	Facility		$187.14	$289.05	$521.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $331.51 / $482.09	Professional		$231.70	$331.51	$482.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Professional		$270.00	$270.00	$270.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $289.33 / $538.97	Facility		$187.14	$289.33	$538.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $326.39 / $564.37	Professional		$210.32	$326.39	$564.37
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $314.08 / $496.42	Professional		$226.64	$314.08	$496.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.58 / $257.23 / $363.10	Professional		$228.58	$257.23	$363.10