Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.69 / $2,080.00 / $6,762.00	Facility		$295.69	$2,080.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $227.45 / $321.98	Professional		$140.05	$227.45	$321.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.68 / $2,781.33 / $5,438.66	Facility		$1,576.68	$2,781.33	$5,438.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $221.62 / $373.25	Professional		$130.57	$221.62	$373.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,535.81 / $2,257.01 / $6,865.83	Facility		$1,535.81	$2,257.01	$6,865.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $177.14 / $281.49	Professional		$136.26	$177.14	$281.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $1,594.97 / $1,594.97	Facility		$124.09	$1,594.97	$1,594.97
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 $160.52 / $257.51 / $449.12	Professional		$160.52	$257.51	$449.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $800.50	Facility		$55.00	$55.00	$800.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.16 / $2,203.34 / $2,203.34	Professional		$1,026.16	$2,203.34	$2,203.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $251.55 / $409.41	Facility		$146.72	$251.55	$409.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $253.29 / $411.64	Professional		$177.03	$253.29	$411.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $410.60 / $410.60 / $410.60	Professional		$410.60	$410.60	$410.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $253.63 / $438.73	Facility		$146.72	$253.63	$438.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $265.70 / $460.12	Professional		$162.94	$265.70	$460.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $269.16 / $439.49	Professional		$191.98	$269.16	$439.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $220.81 / $309.72	Professional		$195.18	$220.81	$309.72