Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.78 / $2,474.00 / $7,316.00	Facility		$412.78	$2,474.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $343.43 / $517.40	Professional		$243.83	$343.43	$517.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.47 / $3,981.32 / $7,910.26	Facility		$1,964.47	$3,981.32	$7,910.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $338.72 / $556.11	Professional		$231.41	$338.72	$556.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5,169.47 / $5,169.47 / $7,466.03	Facility		$5,169.47	$5,169.47	$7,466.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $278.39 / $278.39	Professional		$278.39	$278.39	$278.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $224.23 / $348.47	Facility		$224.23	$224.23	$348.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $1,924.45 / $2,355.06	Facility		$1,508.82	$1,924.45	$2,355.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.11 / $394.15 / $631.66	Professional		$267.11	$394.15	$631.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.30 / $11,500.00 / $16,394.00	Facility		$1,740.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.40 / $2,617.36 / $3,072.38	Professional		$1,832.40	$2,617.36	$3,072.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.17 / $365.66 / $616.29	Facility		$251.17	$365.66	$616.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $459.62 / $636.39	Professional		$321.27	$459.62	$636.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $336.20 / $984.60	Professional		$5.00	$336.20	$984.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.83 / $369.18 / $698.98	Facility		$251.83	$369.18	$698.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.74 / $425.57 / $779.71	Professional		$277.74	$425.57	$779.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,483.00 / $13,237.00	Facility		$2,093.00	$5,483.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $385.00 / $593.49	Professional		$281.83	$385.00	$593.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $352.73 / $478.74	Professional		$301.74	$352.73	$478.74