Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $2,062.85 / $6,691.00	Facility		$150.07	$2,062.85	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $126.53 / $198.18	Professional		$66.23	$126.53	$198.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.12 / $1,274.92 / $2,639.16	Facility		$682.12	$1,274.92	$2,639.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $123.22 / $193.98	Professional		$70.23	$123.22	$193.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $122.86 / $152.51	Professional		$85.39	$122.86	$152.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $822.57 / $822.57	Facility		$68.45	$822.57	$822.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $138.72 / $236.81	Professional		$82.66	$138.72	$236.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.65 / $11,500.00 / $12,000.00	Facility		$346.65	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.00 / $2,139.00 / $2,139.00	Professional		$2,139.00	$2,139.00	$2,139.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $142.97 / $244.42	Facility		$73.68	$142.97	$244.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $163.92 / $259.92	Professional		$96.29	$163.92	$259.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $148.12 / $284.08	Professional		$77.25	$148.12	$284.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $143.99 / $246.65	Facility		$73.81	$143.99	$246.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $146.03 / $259.70	Professional		$83.94	$146.03	$259.70
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $144.44 / $242.34	Professional		$106.91	$144.44	$242.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $134.18 / $189.50	Professional		$119.26	$134.18	$189.50