Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.79 / $2,349.53 / $7,078.00	Facility		$148.79	$2,349.53	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $115.79 / $208.83	Professional		$83.40	$115.79	$208.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $92.56 / $377.67	Facility		$50.24	$92.56	$377.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $115.45 / $179.38	Professional		$72.55	$115.45	$179.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $106.61 / $210.09 / $443.61	Facility		$106.61	$210.09	$443.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $136.55 / $213.73	Professional		$136.55	$136.55	$213.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $80.78 / $80.78	Facility		$80.78	$80.78	$80.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.64 / $95.64 / $95.64	Facility		$95.64	$95.64	$95.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $140.85 / $229.63	Professional		$97.93	$140.85	$229.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $449.07	Facility		$55.00	$55.00	$449.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $656.88 / $909.76 / $1,066.65	Professional		$656.88	$909.76	$1,066.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $133.32 / $236.75	Facility		$94.38	$133.32	$236.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $159.80 / $215.11	Professional		$115.22	$159.80	$215.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Professional		$130.10	$130.10	$130.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.97 / $134.19 / $236.75	Facility		$94.97	$134.19	$236.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $145.77 / $249.59	Professional		$99.69	$145.77	$249.59
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,376.00	Facility		$157.00	$949.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $128.76 / $206.66	Professional		$93.38	$128.76	$206.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $118.74 / $166.00	Professional		$104.91	$118.74	$166.00