Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $190.55	Professional		$93.33	$123.03	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $331.13	Facility		$46.77	$74.13	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $154.88	Professional		$85.11	$112.20	$154.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $218.78	Facility		$39.81	$95.50	$218.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Professional		$194.98	$194.98	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $229.09 / $229.09	Facility		$83.18	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $251.19	Professional		$104.71	$147.91	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $602.56	Facility		$54.95	$56.23	$602.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,047.13	Professional		$912.01	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $3,311.31	Facility		$104.71	$181.97	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $229.09	Professional		$95.50	$131.83	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $316.23	Professional		$181.97	$257.04	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $263.03	Facility		$97.72	$147.91	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $245.47	Professional		$104.71	$151.36	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $199.53	Professional		$87.10	$125.89	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $131.83	Professional		$123.03	$131.83	$131.83