Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $1,964.00 / $6,386.00	Facility		$246.92	$1,964.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $149.47 / $270.35	Professional		$75.93	$149.47	$270.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $981.33 / $2,097.44	Facility		$526.65	$981.33	$2,097.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $145.66 / $244.30	Professional		$83.11	$145.66	$244.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $183.14 / $363.42	Professional		$141.65	$183.14	$363.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $82.82 / $86.96	Facility		$80.00	$82.82	$86.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $159.31 / $159.31	Facility		$159.31	$159.31	$159.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $174.00 / $320.32	Professional		$98.29	$174.00	$320.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $11,500.00 / $12,000.00	Facility		$519.95	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $734.44 / $1,410.78 / $1,610.48	Professional		$734.44	$1,410.78	$1,610.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.83 / $178.31 / $292.27	Facility		$88.83	$178.31	$292.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $213.24 / $327.22	Professional		$118.16	$213.24	$327.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $191.50 / $191.50	Professional		$191.50	$191.50	$191.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $179.36 / $305.24	Facility		$88.86	$179.36	$305.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $178.20 / $345.08	Professional		$100.35	$178.20	$345.08
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $1,803.00 / $4,144.00	Facility		$410.00	$1,803.00	$4,144.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $201.58 / $320.26	Professional		$150.71	$201.58	$320.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $174.42 / $244.57	Professional		$155.15	$174.42	$244.57