Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.46 / $3,455.00 / $10,307.00	Facility		$894.46	$3,455.00	$10,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,763.00 / $5,620.16 / $14,491.50	Facility	50	$2,763.00	$5,620.16	$14,491.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.61 / $373.03 / $626.79	Professional		$339.61	$373.03	$626.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,672.40 / $4,799.47 / $9,961.18	Facility		$2,672.40	$4,799.47	$9,961.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $350.08 / $560.71	Professional		$276.52	$350.08	$560.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $2,276.05 / $5,829.32	Facility		$831.60	$2,276.05	$5,829.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $695.97 / $764.48 / $764.48	Professional		$695.97	$764.48	$764.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $307.16 / $2,999.26 / $2,999.26	Facility		$307.16	$2,999.26	$2,999.26
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 $367.40 / $477.09 / $738.41	Professional		$367.40	$477.09	$738.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,068.89 / $5,068.89 / $5,068.89	Professional		$5,068.89	$5,068.89	$5,068.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.90 / $481.87 / $963.95	Facility		$345.90	$481.87	$963.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $520.14 / $611.92	Professional		$441.95	$520.14	$611.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $579.60 / $579.60 / $579.60	Professional		$579.60	$579.60	$579.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.90 / $485.64 / $963.95	Facility		$345.90	$485.64	$963.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.40 / $487.67 / $748.78	Professional		$367.40	$487.67	$748.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.36 / $406.12 / $628.36	Professional		$295.36	$406.12	$628.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.14 / $332.98 / $458.69	Professional		$290.14	$332.98	$458.69