Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,650.37 / $7,542.00	Facility		$640.00	$2,650.37	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.64 / $256.91 / $424.85	Professional		$235.64	$256.91	$424.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,505.39 / $4,708.92 / $8,995.25	Facility		$2,505.39	$4,708.92	$8,995.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $279.73 / $389.73	Professional		$219.49	$279.73	$389.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $3,494.16 / $7,560.00	Facility		$588.72	$3,494.16	$7,560.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $483.52 / $531.07 / $531.07	Professional		$483.52	$531.07	$531.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $2,888.50 / $2,888.50	Facility		$213.57	$2,888.50	$2,888.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $331.96 / $537.54	Professional		$253.28	$331.96	$537.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $16,394.00 / $16,394.00	Facility		$9,388.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $2,104.00 / $2,104.00	Professional		$2,104.00	$2,104.00	$2,104.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.36 / $327.37 / $658.77	Facility		$240.36	$327.37	$658.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.97 / $361.28 / $425.03	Professional		$306.97	$361.28	$425.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $605.20 / $605.20 / $605.20	Professional		$605.20	$605.20	$605.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.36 / $333.26 / $659.25	Facility		$240.36	$333.26	$659.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.21 / $337.58 / $564.33	Professional		$255.21	$337.58	$564.33
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 $204.41 / $282.26 / $434.37	Professional		$204.41	$282.26	$434.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $231.16 / $318.64	Professional		$201.53	$231.16	$318.64