Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.63 / $2,131.00 / $6,762.00	Facility		$249.63	$2,131.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $185.72 / $271.08	Professional		$126.24	$185.72	$271.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,492.92 / $2,563.92 / $4,981.81	Facility		$1,492.92	$2,563.92	$4,981.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $181.06 / $299.38	Professional		$120.36	$181.06	$299.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $858.46 / $2,050.00	Facility		$109.89	$858.46	$2,050.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $292.19 / $292.19	Professional		$262.75	$292.19	$292.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $126.91 / $126.91	Facility		$119.84	$126.91	$126.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.30 / $1,408.30 / $1,408.30	Facility		$1,408.30	$1,408.30	$1,408.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $222.02 / $360.74	Professional		$147.51	$222.02	$360.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $670.84 / $12,000.00 / $12,000.00	Facility		$670.84	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,651.80 / $1,728.01	Professional		$1,118.00	$1,651.80	$1,728.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.93 / $211.19 / $383.86	Facility		$134.93	$211.19	$383.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $241.26 / $344.11	Professional		$168.62	$241.26	$344.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.30 / $345.30 / $345.30	Professional		$345.30	$345.30	$345.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.03 / $214.26 / $404.18	Facility		$136.03	$214.26	$404.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.93 / $226.43 / $374.59	Professional		$147.93	$226.43	$374.59
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 $152.55 / $211.24 / $338.37	Professional		$152.55	$211.24	$338.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $184.09 / $258.86	Professional		$163.16	$184.09	$258.86