Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $2,124.00 / $7,316.00	Facility		$142.90	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $104.13 / $157.35	Professional		$67.34	$104.13	$157.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.00 / $2,673.00 / $4,277.00	Facility		$527.00	$2,673.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $110.46 / $179.18	Professional		$65.98	$110.46	$179.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $2,124.36 / $6,828.30	Facility		$67.38	$2,124.36	$6,828.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $119.11	Facility		$61.00	$61.00	$119.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $120.14 / $214.38	Professional		$74.95	$120.14	$214.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $405.50 / $1,055.95	Facility		$55.00	$405.50	$1,055.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.05 / $2,133.71 / $3,694.98	Professional		$1,068.05	$2,133.71	$3,694.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $114.73 / $265.39	Facility		$66.87	$114.73	$265.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $148.43 / $246.66	Professional		$88.73	$148.43	$246.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $193.10 / $509.60	Professional		$4.00	$193.10	$509.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $116.47 / $266.48	Facility		$67.15	$116.47	$266.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $133.32 / $256.49	Professional		$79.17	$133.32	$256.49
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $114.66 / $189.58	Professional		$86.52	$114.66	$189.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $109.92 / $154.69	Professional		$97.45	$109.92	$154.69