Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.82 / $2,080.00 / $6,691.00	Facility		$306.82	$2,080.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $269.95 / $394.20	Professional		$195.30	$269.95	$394.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,133.45 / $2,118.46 / $4,142.47	Facility		$1,133.45	$2,118.46	$4,142.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $252.62 / $425.80	Professional		$183.47	$252.62	$425.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,603.04 / $4,100.00	Facility		$450.00	$1,603.04	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $139.03 / $369.81	Professional		$139.03	$139.03	$369.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $183.76 / $183.76	Facility		$183.76	$183.76	$183.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.63 / $943.63 / $943.63	Facility		$943.63	$943.63	$943.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $329.53 / $538.99	Professional		$222.84	$329.53	$538.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,403.04 / $12,000.00 / $12,000.00	Facility		$1,403.04	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.20 / $1,981.04 / $2,285.40	Professional		$1,487.20	$1,981.04	$2,285.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.94 / $311.50 / $554.34	Facility		$210.94	$311.50	$554.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $344.81 / $477.43	Professional		$257.76	$344.81	$477.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $297.89 / $297.89	Professional		$297.89	$297.89	$297.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.36 / $315.30 / $650.74	Facility		$211.36	$315.30	$650.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.87 / $343.13 / $589.47	Professional		$230.87	$343.13	$589.47
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 $247.05 / $331.55 / $517.90	Professional		$247.05	$331.55	$517.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $255.04 / $359.72	Professional		$226.37	$255.04	$359.72