Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.52 / $1,871.00 / $5,906.00	Facility		$251.52	$1,871.00	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $157.91 / $251.52	Professional		$99.80	$157.91	$251.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.29 / $981.33 / $2,112.67	Facility		$556.29	$981.33	$2,112.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $155.13 / $230.65	Professional		$102.81	$155.13	$230.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $406.00 / $850.40 / $3,153.10	Facility		$406.00	$850.40	$3,153.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $600.66 / $600.66	Facility		$100.75	$600.66	$600.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $193.14	Facility		$193.14	$193.14	$193.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $187.72 / $299.50	Professional		$123.44	$187.72	$299.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $11,500.00 / $12,000.00	Facility		$513.16	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,240.00 / $1,392.30	Professional		$927.00	$1,240.00	$1,392.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $174.26 / $275.52	Facility		$112.74	$174.26	$275.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $203.95 / $292.27	Professional		$142.55	$203.95	$292.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $165.20 / $165.20	Professional		$165.20	$165.20	$165.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $175.50 / $279.45	Facility		$113.51	$175.50	$279.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $194.95 / $322.56	Professional		$124.65	$194.95	$322.56
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $183.56 / $284.02	Professional		$136.34	$183.56	$284.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $157.19 / $219.93	Professional		$138.59	$157.19	$219.93