Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.24 / $2,496.00 / $7,495.00	Facility		$226.24	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $169.21 / $261.05	Professional		$105.86	$169.21	$261.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $179.14 / $712.89	Facility		$109.20	$179.14	$712.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $170.03 / $264.14	Professional		$101.57	$170.03	$264.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $3,045.18 / $4,076.74	Facility		$204.94	$3,045.18	$4,076.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $152.18 / $152.18	Professional		$152.18	$152.18	$152.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $2,733.92 / $2,733.92	Facility		$98.02	$2,733.92	$2,733.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $183.87 / $2,213.00	Facility		$155.16	$183.87	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $195.31 / $336.00	Professional		$118.46	$195.31	$336.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $781.26	Facility		$55.00	$55.00	$781.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $808.56 / $1,347.76 / $1,572.30	Professional		$808.56	$1,347.76	$1,572.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $179.61 / $303.95	Facility		$111.12	$179.61	$303.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $208.68 / $326.63	Professional		$140.87	$208.68	$326.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $195.90 / $504.00	Professional		$5.00	$195.90	$504.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $181.16 / $316.81	Facility		$111.21	$181.16	$316.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $217.18 / $399.56	Professional		$123.89	$217.18	$399.56
United Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,272.00 / $4,764.00	Facility		$630.00	$2,272.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $189.97 / $297.98	Professional		$136.69	$189.97	$297.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $181.16 / $245.93	Professional		$154.87	$181.16	$245.93