Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $1,861.00 / $6,691.00	Facility		$137.22	$1,861.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $123.03 / $198.19	Professional		$74.70	$123.03	$198.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.29 / $993.83 / $2,118.92	Facility		$556.29	$993.83	$2,118.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $124.37 / $178.71	Professional		$73.26	$124.37	$178.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,044.95 / $3,913.50	Facility		$748.00	$1,044.95	$3,913.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $79.97 / $79.97	Facility		$73.06	$79.97	$79.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $150.47 / $254.75	Professional		$88.87	$150.47	$254.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $380.71	Facility		$55.00	$55.00	$380.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $642.98 / $1,240.00	Professional		$571.52	$642.98	$1,240.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $129.19 / $221.27	Facility		$75.69	$129.19	$221.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $146.94 / $229.99	Professional		$98.40	$146.94	$229.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $154.03 / $293.99	Professional		$89.08	$154.03	$293.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $129.61 / $227.93	Facility		$75.69	$129.61	$227.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $156.59 / $268.19	Professional		$91.29	$156.59	$268.19
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $161.81 / $261.97	Professional		$119.88	$161.81	$261.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $123.44 / $173.06	Professional		$109.05	$123.44	$173.06