Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,316.00	Facility		$488.00	$2,181.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $80.98 / $114.58	Professional		$74.48	$80.98	$114.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.53 / $2,763.62 / $5,367.80	Facility		$1,523.53	$2,763.62	$5,367.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $82.56 / $123.76	Professional		$62.07	$82.56	$123.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $1,970.09 / $4,100.00	Facility		$532.79	$1,970.09	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $171.34 / $171.34	Professional		$153.07	$171.34	$171.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $1,579.06 / $1,579.06	Facility		$69.65	$1,579.06	$1,579.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $106.96 / $166.62	Professional		$82.30	$106.96	$166.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $12,000.00 / $12,000.00	Facility		$5,444.45	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $650.78 / $655.54 / $677.17	Professional		$650.78	$655.54	$677.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $106.98 / $171.91	Facility		$75.25	$106.98	$171.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $116.30 / $136.82	Professional		$98.81	$116.30	$136.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $141.10 / $141.10	Professional		$141.10	$141.10	$141.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $108.11 / $195.65	Facility		$75.25	$108.11	$195.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $107.19 / $178.07	Professional		$82.55	$107.19	$178.07
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $89.20 / $137.43	Professional		$64.67	$89.20	$137.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $73.92 / $102.80	Professional		$64.87	$73.92	$102.80