Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.03 / $2,500.00 / $7,316.00	Facility		$357.03	$2,500.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $293.45 / $429.57	Professional		$216.49	$293.45	$429.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.35 / $2,253.40 / $4,574.26	Facility		$1,322.35	$2,253.40	$4,574.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $284.95 / $407.50	Professional		$209.61	$284.95	$407.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $1,632.05 / $4,500.00	Facility		$713.60	$1,632.05	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $313.75 / $342.00 / $415.25	Professional		$313.75	$342.00	$415.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $197.60 / $197.60 / $297.62	Facility		$197.60	$197.60	$297.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $943.63 / $2,213.00	Facility		$711.30	$943.63	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $347.52 / $559.22	Professional		$242.72	$347.52	$559.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.84 / $11,500.00 / $16,394.00	Facility		$1,566.84	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.84 / $2,202.23 / $2,573.17	Professional		$1,655.84	$2,202.23	$2,573.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.43 / $316.37 / $536.41	Facility		$222.43	$316.37	$536.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.73 / $386.02 / $534.49	Professional		$289.73	$386.02	$534.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $343.60 / $796.70	Professional		$5.00	$343.60	$796.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.80 / $319.83 / $626.38	Facility		$222.80	$319.83	$626.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.06 / $383.28 / $660.70	Professional		$252.06	$383.28	$660.70
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 $242.00 / $326.27 / $521.89	Professional		$242.00	$326.27	$521.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.43 / $296.23 / $401.48	Professional		$253.43	$296.23	$401.48