Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $3,186.00 / $10,893.00	Facility		$82.96	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $86.43 / $131.88	Professional		$70.05	$86.43	$131.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $69.87 / $267.26	Facility		$40.18	$69.87	$267.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $89.30 / $142.28	Professional		$67.76	$89.30	$142.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $42.49 / $748.00	Facility		$33.29	$42.49	$748.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $162.99 / $162.99	Professional		$146.58	$162.99	$162.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $66.73 / $66.73	Facility		$66.73	$66.73	$66.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $65.93 / $65.93	Facility		$65.93	$65.93	$65.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $107.85 / $178.92	Professional		$78.95	$107.85	$178.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $370.74	Facility		$55.00	$55.00	$370.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.40 / $666.80 / $773.40	Professional		$540.40	$666.80	$773.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $103.52 / $190.12	Facility		$76.09	$103.52	$190.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $119.56 / $156.80	Professional		$94.20	$119.56	$156.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $116.80 / $116.80	Professional		$116.80	$116.80	$116.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $103.65 / $190.12	Facility		$76.09	$103.65	$190.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $113.93 / $188.77	Professional		$82.14	$113.93	$188.77
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $100.44 / $155.22	Professional		$72.70	$100.44	$155.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $86.73 / $121.11	Professional		$76.47	$86.73	$121.11