Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.77 / $2,036.00 / $6,158.00	Facility		$274.77	$2,036.00	$6,158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $241.00 / $370.45	Professional		$142.57	$241.00	$370.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $276.39 / $1,047.33	Facility		$165.60	$276.39	$1,047.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.51 / $228.10 / $376.21	Professional		$134.51	$228.10	$376.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $167.57 / $461.71 / $677.36	Facility		$167.57	$461.71	$677.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $423.06 / $423.06	Facility		$129.71	$423.06	$423.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.56 / $263.73 / $1,652.00	Facility		$222.56	$263.73	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $268.12 / $455.76	Professional		$157.61	$268.12	$455.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,036.38	Facility		$55.00	$55.00	$1,036.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.40 / $1,849.76 / $2,169.60	Professional		$1,062.40	$1,849.76	$2,169.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $248.18 / $407.11	Facility		$146.75	$248.18	$407.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $292.92 / $449.50	Professional		$185.86	$292.92	$449.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $234.30 / $712.00	Professional		$5.00	$234.30	$712.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.90 / $249.54 / $442.29	Facility		$146.90	$249.54	$442.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $293.69 / $544.79	Professional		$163.52	$293.69	$544.79
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $271.58 / $423.61	Professional		$196.92	$271.58	$423.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $249.19 / $338.36	Professional		$213.12	$249.19	$338.36