Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.50 / $1,097.24 / $5,151.00	Facility		$236.50	$1,097.24	$5,151.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $271.55 / $1,898.50 / $1,898.50	Facility	50	$271.55	$1,898.50	$1,898.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $103.93 / $185.72	Professional		$58.31	$103.93	$185.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.46 / $1,274.92 / $2,687.89	Facility		$665.46	$1,274.92	$2,687.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $107.88 / $171.68	Professional		$57.61	$107.88	$171.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $382.35 / $4,100.00	Facility		$31.01	$382.35	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $109.23 / $604.29	Professional		$66.20	$109.23	$604.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $76.36 / $76.36	Facility		$65.70	$76.36	$76.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $119.82 / $119.82	Facility		$119.82	$119.82	$119.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $125.58 / $213.96	Professional		$73.20	$125.58	$213.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.87 / $11,500.00 / $12,000.00	Facility		$314.87	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,433.08 / $1,504.73	Professional		$1,227.00	$1,433.08	$1,504.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $129.36 / $231.37	Facility		$67.65	$129.36	$231.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $148.41 / $232.31	Professional		$85.78	$148.41	$232.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,853.38 / $3,942.95 / $6,094.00	Facility		$2,853.38	$3,942.95	$6,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $139.44 / $279.32	Professional		$71.92	$139.44	$279.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $129.36 / $229.99	Facility		$67.65	$129.36	$229.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $131.19 / $229.81	Professional		$75.59	$131.19	$229.81
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 $92.97 / $126.01 / $209.18	Professional		$92.97	$126.01	$209.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $124.59 / $174.97	Professional		$110.15	$124.59	$174.97