Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.19 / $2,128.00 / $7,408.00	Facility		$519.19	$2,128.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $563.24 / $947.52	Professional		$289.25	$563.24	$947.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,564.61 / $2,693.07 / $5,282.44	Facility		$1,564.61	$2,693.07	$5,282.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $554.23 / $874.58	Professional		$303.20	$554.23	$874.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $417.15 / $1,066.05 / $2,534.52	Facility		$417.15	$1,066.05	$2,534.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $370.46 / $384.32	Professional		$322.14	$370.46	$384.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $301.62 / $1,171.61 / $1,171.61	Facility		$301.62	$1,171.61	$1,171.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $561.84	Facility		$561.84	$561.84	$561.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.01 / $663.90 / $1,090.72	Professional		$363.01	$663.90	$1,090.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,312.52	Facility		$55.00	$55.00	$2,312.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.53 / $163.95 / $163.95	Facility	AS	$151.53	$163.95	$163.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,607.79 / $4,841.20 / $5,749.20	Professional		$2,607.79	$4,841.20	$5,749.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.32 / $626.84 / $1,003.18	Facility		$322.32	$626.84	$1,003.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.83 / $756.62 / $1,184.27	Professional		$412.83	$756.62	$1,184.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.19 / $661.94 / $848.91	Professional		$343.19	$661.94	$848.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.47 / $630.41 / $1,024.04	Facility		$322.47	$630.41	$1,024.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $224.97	Facility	AS	$56.18	$56.18	$224.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.07 / $680.26 / $1,193.02	Professional		$366.07	$680.26	$1,193.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,296.00 / $9,825.00	Facility		$1,391.00	$4,296.00	$9,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.72 / $661.16 / $1,059.81	Professional		$492.72	$661.16	$1,059.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $561.52 / $630.41 / $889.57	Professional		$561.52	$630.41	$889.57