Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $2,017.00 / $6,903.28	Facility		$229.34	$2,017.00	$6,903.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $205.97 / $450.77	Professional		$107.02	$205.97	$450.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.29 / $2,037.50 / $4,034.53	Facility		$988.29	$2,037.50	$4,034.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $176.26 / $280.73	Professional		$94.03	$176.26	$280.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $1,216.15 / $3,266.48	Facility		$439.56	$1,216.15	$3,266.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $113.74 / $161.41 / $242.12	Professional		$113.74	$161.41	$242.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $99.40 / $202.93	Facility		$99.40	$99.40	$202.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $943.63 / $1,652.00	Facility		$711.30	$943.63	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $219.28 / $375.91	Professional		$117.40	$219.28	$375.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $756.96 / $11,500.00 / $12,000.00	Facility		$756.96	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $797.72 / $1,521.76 / $1,790.85	Professional		$797.72	$1,521.76	$1,790.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.43 / $203.24 / $334.11	Facility		$109.43	$203.24	$334.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $236.58 / $370.30	Professional		$139.61	$236.58	$370.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $186.30 / $599.10	Professional		$5.00	$186.30	$599.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.43 / $206.47 / $364.09	Facility		$109.43	$206.47	$364.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.87 / $240.16 / $461.69	Professional		$122.87	$240.16	$461.69
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,475.00	Facility		$593.00	$2,045.00	$4,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $226.22 / $360.32	Professional		$167.11	$226.22	$360.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $205.28 / $278.95	Professional		$175.58	$205.28	$278.95