Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.59 / $2,090.00 / $6,762.00	Facility		$249.59	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $217.75 / $356.99	Professional		$131.78	$217.75	$356.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.32 / $4,722.75 / $9,414.02	Facility		$2,487.32	$4,722.75	$9,414.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $221.63 / $321.83	Professional		$131.80	$221.63	$321.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $1,409.64 / $3,553.78	Facility		$83.00	$1,409.64	$3,553.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $73.11 / $80.93	Professional		$71.40	$73.11	$80.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $2,900.06 / $2,900.06	Facility		$132.72	$2,900.06	$2,900.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $243.12 / $243.12	Facility		$243.12	$243.12	$243.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $257.00 / $460.22	Professional		$159.97	$257.00	$460.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $990.30 / $11,500.00 / $12,000.00	Facility		$990.30	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.00 / $2,775.98 / $2,859.26	Professional		$1,683.00	$2,775.98	$2,859.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $245.43 / $605.85	Facility		$140.75	$245.43	$605.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $272.43 / $431.99	Professional		$182.92	$272.43	$431.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.10 / $221.10 / $221.10	Professional		$221.10	$221.10	$221.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.54 / $246.61 / $616.16	Facility		$141.54	$246.61	$616.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $269.74 / $474.59	Professional		$159.97	$269.74	$474.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $277.64 / $511.55	Professional		$203.54	$277.64	$511.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $223.12 / $314.45	Professional		$198.22	$223.12	$314.45