Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $2,128.00 / $6,837.00	Facility		$149.37	$2,128.00	$6,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $123.70 / $190.31	Professional		$63.46	$123.70	$190.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $101.38 / $170.61	Professional		$54.08	$101.38	$170.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $68.14 / $7,352.61	Facility		$34.07	$68.14	$7,352.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $672.46 / $672.46 / $672.46	Professional		$672.46	$672.46	$672.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $60.75 / $60.75	Facility		$56.31	$60.75	$60.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $104.48	Facility		$104.48	$104.48	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $140.91 / $238.86	Professional		$75.33	$140.91	$238.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $287.47	Facility		$55.00	$55.00	$287.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.52 / $524.52 / $1,236.00	Professional		$524.52	$524.52	$1,236.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $122.76 / $218.47	Facility		$60.60	$122.76	$218.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $143.41 / $220.09	Professional		$75.69	$143.41	$220.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $126.49 / $266.01	Professional		$61.64	$126.49	$266.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $122.76 / $218.47	Facility		$60.60	$122.76	$218.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $143.55 / $262.08	Professional		$76.33	$143.55	$262.08
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $152.03 / $249.52	Professional		$112.31	$152.03	$249.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $117.99 / $165.73	Professional		$104.35	$117.99	$165.73