Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.13 / $2,017.00 / $6,691.00	Facility		$450.13	$2,017.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $325.56 / $533.99	Professional		$280.80	$325.56	$533.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,699.38 / $5,673.85	Facility		$1,530.22	$2,699.38	$5,673.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.94 / $323.54 / $503.37	Professional		$259.94	$323.54	$503.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $1,711.12 / $4,231.41	Facility		$439.56	$1,711.12	$4,231.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $185.17 / $325.24	Professional		$171.59	$185.17	$325.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $300.99 / $302.18	Facility		$80.00	$300.99	$302.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $369.75 / $369.75	Facility		$369.75	$369.75	$369.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.57 / $442.71 / $670.17	Professional		$328.57	$442.71	$670.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.96 / $11,500.00 / $12,000.00	Facility		$1,215.96	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $76.02 / $497.27 / $497.27	Facility	AS	$76.02	$497.27	$497.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,232.86 / $3,232.86 / $3,232.86	Professional		$3,232.86	$3,232.86	$3,232.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.98 / $407.60 / $675.00	Facility		$311.98	$407.60	$675.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $369.75 / $459.13 / $598.03	Professional		$369.75	$459.13	$598.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.83 / $545.97 / $1,194.88	Professional		$320.83	$545.97	$1,194.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.98 / $407.60 / $703.85	Facility		$311.98	$407.60	$703.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $123.08 / $123.08 / $123.08	Facility	80	$123.08	$123.08	$123.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $104.62	Facility	AS	$36.69	$36.69	$104.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.92 / $457.88 / $681.90	Professional		$329.92	$457.88	$681.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.69 / $349.27 / $546.42	Professional		$253.69	$349.27	$546.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $311.98 / $434.74	Professional		$274.41	$311.98	$434.74