Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.29 / $1,937.00 / $6,762.00	Facility		$168.29	$1,937.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $139.65 / $228.75	Professional		$102.43	$139.65	$228.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $115.13 / $442.26	Facility		$69.44	$115.13	$442.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $147.88 / $220.54	Professional		$106.74	$147.88	$220.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $333.01 / $501.56	Facility		$110.22	$333.01	$501.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $157.38 / $231.00	Professional		$129.71	$157.38	$231.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $101.34 / $105.21	Facility		$80.00	$101.34	$105.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $197.98	Facility		$197.98	$197.98	$197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $182.26 / $288.31	Professional		$127.48	$182.26	$288.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $565.01	Facility		$55.00	$55.00	$565.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.60 / $1,011.00 / $1,398.60	Professional		$819.60	$1,011.00	$1,398.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $159.35 / $267.70	Facility		$110.62	$159.35	$267.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $205.62 / $294.20	Professional		$148.02	$205.62	$294.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $183.00 / $233.66	Professional		$122.41	$183.00	$233.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $160.63 / $273.56	Facility		$112.33	$160.63	$273.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $191.06 / $305.00	Professional		$127.77	$191.06	$305.00
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 $119.74 / $162.11 / $263.50	Professional		$119.74	$162.11	$263.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $152.50 / $212.50	Professional		$134.99	$152.50	$212.50