Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.74 / $2,124.00 / $6,762.00	Facility		$297.74	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $225.81 / $341.89	Professional		$179.64	$225.81	$341.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.69 / $1,008.77 / $2,164.38	Facility		$542.69	$1,008.77	$2,164.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.76 / $231.58 / $366.11	Professional		$179.76	$231.58	$366.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $338.70 / $512.48	Facility		$158.50	$338.70	$512.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $246.20 / $653.63	Professional		$204.70	$246.20	$653.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $169.65 / $169.65	Facility		$169.65	$169.65	$169.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.59 / $670.59 / $670.59	Facility		$670.59	$670.59	$670.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $289.07 / $474.24	Professional		$210.24	$289.07	$474.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $951.85 / $12,000.00 / $12,000.00	Facility		$951.85	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,491.00 / $3,296.00 / $4,265.53	Professional		$2,491.00	$3,296.00	$4,265.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.47 / $278.97 / $640.97	Facility		$201.47	$278.97	$640.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $314.36 / $420.37	Professional		$247.68	$314.36	$420.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $602.70	Professional		$602.70	$602.70	$602.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.47 / $282.72 / $640.97	Facility		$201.47	$282.72	$640.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $296.61 / $507.90	Professional		$211.85	$296.61	$507.90
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $255.78 / $414.18	Professional		$182.70	$255.78	$414.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $226.75 / $314.70	Professional		$199.32	$226.75	$314.70