Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,162.28 / $7,943.28	Facility		$776.25	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $257.04	Professional		$144.54	$162.18	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,677.35 / $10,000.00	Facility		$2,137.96	$4,677.35	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $234.42	Professional		$138.04	$162.18	$234.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $331.13	Professional		$302.00	$302.00	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Facility		$131.83	$131.83	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,479.11 / $1,905.46	Facility		$257.04	$1,479.11	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $363.08	Professional		$154.88	$213.80	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,258.93	Professional		$1,096.48	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $2,951.21	Facility		$144.54	$213.80	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $245.47	Professional		$144.54	$162.18	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $251.19 / $380.19	Professional		$3.98	$251.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $363.08	Facility		$141.25	$186.21	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $380.19	Professional		$151.36	$218.78	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $141.25 / $165.96	Professional		$64.57	$141.25	$165.96