Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,449.00 / $6,499.02	Facility		$652.00	$2,449.00	$6,499.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $220.43 / $334.58	Professional		$201.93	$220.43	$334.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.21 / $2,799.05 / $5,863.83	Facility		$1,527.21	$2,799.05	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.62 / $240.38 / $334.91	Professional		$188.62	$240.38	$334.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $203.32 / $1,535.81 / $2,115.71	Facility		$203.32	$1,535.81	$2,115.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $414.61 / $455.20 / $455.20	Professional		$414.61	$455.20	$455.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $182.85 / $182.85	Facility		$182.85	$182.85	$182.85
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 $216.30 / $282.42 / $429.33	Professional		$216.30	$282.42	$429.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $16,394.00 / $16,394.00	Facility		$5,444.45	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.80 / $1,955.80 / $1,955.80	Professional		$1,955.80	$1,955.80	$1,955.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.97 / $278.66 / $463.77	Facility		$205.97	$278.66	$463.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.24 / $309.81 / $364.48	Professional		$263.24	$309.81	$364.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.80 / $296.80 / $296.80	Professional		$296.80	$296.80	$296.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.97 / $279.14 / $529.45	Facility		$205.97	$279.14	$529.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $288.33 / $439.18	Professional		$217.20	$288.33	$439.18
United Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $2,498.00 / $4,805.00	Facility		$655.00	$2,498.00	$4,805.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $240.33 / $371.68	Professional		$175.54	$240.33	$371.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $198.13 / $273.12	Professional		$172.82	$198.13	$273.12