Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.79 / $2,020.00 / $6,762.00	Facility		$195.79	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $166.77 / $264.93	Professional		$103.49	$166.77	$264.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $176.69 / $683.44	Facility		$88.34	$176.69	$683.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $170.95 / $241.12	Professional		$99.11	$170.95	$241.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $251.33 / $251.33	Professional		$251.33	$251.33	$251.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $476.60 / $476.60	Facility		$95.09	$476.60	$476.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $185.26 / $1,652.00	Facility		$156.34	$185.26	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $193.44 / $331.54	Professional		$116.71	$193.44	$331.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $743.46 / $9,102.00 / $11,500.00	Facility		$743.46	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $786.08 / $1,342.00 / $1,567.88	Professional		$786.08	$1,342.00	$1,567.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $180.62 / $297.69	Facility		$107.22	$180.62	$297.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $207.94 / $325.48	Professional		$137.09	$207.94	$325.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $210.70 / $505.50	Professional		$5.00	$210.70	$505.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $182.00 / $316.45	Facility		$107.22	$182.00	$316.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $214.72 / $398.15	Professional		$120.81	$214.72	$398.15
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $895.00 / $2,287.00	Facility		$144.00	$895.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $189.47 / $295.04	Professional		$138.06	$189.47	$295.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $180.49 / $245.04	Professional		$154.32	$180.49	$245.04