Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,187.76 / $6,918.31	Facility		$512.86	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $575.44	Professional		$281.84	$346.74	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,370.32	Facility		$1,548.82	$2,691.53	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $489.78	Professional		$269.15	$316.23	$489.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $562.34	Professional		$346.74	$426.58	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $302.00 / $302.00	Facility		$79.43	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $691.83	Professional		$316.23	$446.68	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $19,498.45 / $19,498.45	Facility		$5,248.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $3,090.30	Facility		$316.23	$478.63	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $562.34	Professional		$281.84	$398.11	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,122.02 / $1,148.15	Professional		$407.38	$1,122.02	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $741.31	Facility		$309.03	$426.58	$741.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $676.08	Professional		$302.00	$446.68	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $537.03	Professional		$263.03	$346.74	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $316.23	Professional		$295.12	$316.23	$316.23