Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.90 / $3,445.00 / $10,234.00	Facility		$113.90	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $115.93 / $168.80	Professional		$80.28	$115.93	$168.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $127.73 / $221.07 / $221.07	Professional	50	$127.73	$221.07	$221.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $97.74 / $382.23	Facility		$58.64	$97.74	$382.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $111.68 / $185.17	Professional		$77.04	$111.68	$185.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $59.84 / $177.92	Facility		$40.85	$59.84	$177.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $92.49 / $131.32	Professional		$84.03	$92.49	$131.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $75.69 / $75.69	Facility		$75.69	$75.69	$75.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $92.86 / $92.86	Facility		$92.86	$92.86	$92.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $139.35 / $232.85	Professional		$94.19	$139.35	$232.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $419.43	Facility		$55.00	$55.00	$419.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $615.67 / $868.56 / $1,003.50	Professional		$615.67	$868.56	$1,003.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $131.26 / $241.22	Facility		$85.15	$131.26	$241.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $151.38 / $209.61	Professional		$106.81	$151.38	$209.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $170.70 / $170.70	Professional		$170.70	$170.70	$170.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $131.86 / $253.59	Facility		$85.15	$131.86	$253.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $140.68 / $243.77	Professional		$95.63	$140.68	$243.77
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $134.57 / $213.12	Professional		$97.87	$134.57	$213.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $112.53 / $157.59	Professional		$99.39	$112.53	$157.59