Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.83 / $2,017.00 / $6,762.00	Facility		$229.83	$2,017.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,961.90 / $2,119.50 / $2,119.50	Facility	50	$1,961.90	$2,119.50	$2,119.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $190.47 / $299.52	Professional		$75.18	$190.47	$299.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.38 / $630.38 / $630.38	Professional	50	$630.38	$630.38	$630.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $240.27 / $967.39	Facility		$148.59	$240.27	$967.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $174.10 / $282.01	Professional		$74.87	$174.10	$282.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $594.79 / $812.83 / $4,050.90	Facility		$594.79	$812.83	$4,050.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $107.07 / $163.28	Professional		$82.36	$107.07	$163.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $288.10 / $288.10	Facility		$72.09	$288.10	$288.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $173.30 / $358.99	Professional		$90.71	$173.30	$358.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $406.03	Facility		$55.00	$55.00	$406.03
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $299.14 / $324.82 / $324.82	Facility	52	$299.14	$324.82	$324.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $679.28 / $1,886.00	Professional		$603.04	$679.28	$1,886.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $188.79 / $333.00	Facility		$78.15	$188.79	$333.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $243.28 / $380.79	Professional		$101.87	$243.28	$380.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $213.89 / $424.41	Professional		$81.27	$213.89	$424.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $189.39 / $339.62	Facility		$78.15	$189.39	$339.62
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $181.30 / $397.79	Professional		$90.71	$181.30	$397.79
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 $170.70 / $227.57 / $369.06	Professional		$170.70	$227.57	$369.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $202.56 / $287.00	Professional		$180.55	$202.56	$287.00