Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $1,900.00 / $6,386.00	Facility		$142.55	$1,900.00	$6,386.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,177.80 / $4,177.80 / $4,177.80	Facility	50	$4,177.80	$4,177.80	$4,177.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $116.07 / $195.65	Professional		$56.42	$116.07	$195.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.57 / $1,266.80 / $2,637.00	Facility		$638.57	$1,266.80	$2,637.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $113.62 / $196.01	Professional		$50.06	$113.62	$196.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $4,100.00 / $4,100.00	Facility		$111.20	$4,100.00	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $82.65 / $127.09	Professional		$62.80	$82.65	$127.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $512.17 / $512.17	Facility		$60.60	$512.17	$512.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $110.60 / $110.60	Facility		$110.60	$110.60	$110.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $136.72 / $238.17	Professional		$70.26	$136.72	$238.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $11,500.00 / $12,000.00	Facility		$295.99	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $1,338.30	Professional		$1,227.00	$1,227.00	$1,338.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $145.12 / $243.41	Facility		$63.70	$145.12	$243.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $181.74 / $288.19	Professional		$81.16	$181.74	$288.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $158.63 / $324.94	Professional		$65.94	$158.63	$324.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $145.88 / $243.41	Facility		$64.14	$145.88	$243.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $138.33 / $262.00	Professional		$72.23	$138.33	$262.00
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 $106.47 / $145.72 / $234.64	Professional		$106.47	$145.72	$234.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $148.69 / $210.13	Professional		$132.24	$148.69	$210.13