Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $1,937.00 / $6,261.00	Facility		$177.97	$1,937.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $139.41 / $203.32	Professional		$95.82	$139.41	$203.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $120.99 / $496.94	Facility		$69.43	$120.99	$496.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $139.85 / $226.86	Professional		$92.82	$139.85	$226.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $97.82 / $1,539.34 / $2,645.75	Facility		$97.82	$1,539.34	$2,645.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $111.95 / $111.95	Professional		$101.32	$111.95	$111.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $838.15 / $838.15	Facility		$89.57	$838.15	$838.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.02 / $1,381.02 / $1,381.02	Facility		$1,381.02	$1,381.02	$1,381.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $169.04 / $277.98	Professional		$114.31	$169.04	$277.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $509.63	Facility		$55.00	$55.00	$509.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.16 / $1,082.16 / $1,242.23	Professional		$748.16	$1,082.16	$1,242.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $156.97 / $308.85	Facility		$104.27	$156.97	$308.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $184.70 / $260.26	Professional		$129.09	$184.70	$260.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $209.50 / $209.50	Professional		$209.50	$209.50	$209.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $159.05 / $316.73	Facility		$104.27	$159.05	$316.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $173.29 / $283.35	Professional		$114.74	$173.29	$283.35
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $158.66 / $255.22	Professional		$114.71	$158.66	$255.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $139.65 / $195.90	Professional		$123.40	$139.65	$195.90