Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $3,715.35 / $12,022.64	Facility		$107.15	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $190.55	Professional		$52.48	$85.11	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $213.80	Facility		$42.66	$70.79	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $134.90	Professional		$53.70	$85.11	$134.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $123.03	Facility		$38.02	$54.95	$123.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $123.03	Professional		$74.13	$95.50	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $169.82	Professional		$61.66	$100.00	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $776.25	Professional		$660.69	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $2,511.89	Facility		$57.54	$107.15	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $169.82	Professional		$54.95	$89.13	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $239.88	Professional		$128.82	$190.55	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $97.72 / $173.78	Facility		$56.23	$97.72	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $165.96	Professional		$61.66	$102.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $134.90	Professional		$53.70	$83.18	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $95.50	Professional		$89.13	$95.50	$95.50