Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $2,017.00 / $6,691.00	Facility		$85.76	$2,017.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $67.29 / $108.92	Professional		$53.66	$67.29	$108.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $378.19 / $838.59	Facility		$221.20	$378.19	$838.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $67.64 / $107.77	Professional		$51.98	$67.64	$107.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $126.34 / $152.82	Professional		$101.88	$126.34	$152.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $49.74 / $49.74	Facility		$49.74	$49.74	$49.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Facility		$187.61	$187.61	$187.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.21 / $140.43	Professional		$61.66	$85.21	$140.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.93 / $12,000.00 / $12,000.00	Facility		$275.93	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $1,520.20 / $1,520.20	Professional		$559.00	$1,520.20	$1,520.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $85.84 / $147.47	Facility		$59.02	$85.84	$147.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $91.26 / $118.88	Professional		$71.90	$91.26	$118.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $112.60 / $112.60	Professional		$112.60	$112.60	$112.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $86.95 / $154.08	Facility		$59.63	$86.95	$154.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $89.08 / $152.59	Professional		$63.64	$89.08	$152.59
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $78.61 / $124.11	Professional		$57.17	$78.61	$124.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $66.13 / $91.69	Professional		$57.98	$66.13	$91.69