Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $2,107.00 / $6,691.00	Facility		$146.84	$2,107.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $135.52 / $189.57	Professional		$77.03	$135.52	$189.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.04 / $879.32 / $1,887.00	Facility		$509.04	$879.32	$1,887.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $125.27 / $207.45	Professional		$73.02	$125.27	$207.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $676.41 / $676.41 / $976.90	Facility		$676.41	$676.41	$976.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $174.78 / $174.78	Professional		$158.75	$174.78	$174.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.76 / $590.30 / $590.30	Facility		$71.76	$590.30	$590.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $150.38 / $262.64	Professional		$90.10	$150.38	$262.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $455.95 / $12,000.00 / $12,000.00	Facility		$455.95	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.00 / $1,832.00 / $1,832.00	Professional		$1,832.00	$1,832.00	$1,832.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $147.83 / $281.92	Facility		$84.25	$147.83	$281.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $144.46 / $236.39	Professional		$100.92	$144.46	$236.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $285.30 / $285.30	Professional		$285.30	$285.30	$285.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $153.56 / $306.62	Facility		$84.25	$153.56	$306.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $152.52 / $277.66	Professional		$91.61	$152.52	$277.66
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,287.00	Facility		$369.00	$1,513.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $149.66 / $242.97	Professional		$99.74	$149.66	$242.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $126.45 / $177.86	Professional		$112.09	$126.45	$177.86