Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,715.35 / $12,022.64	Facility		$645.65	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $138.04	Professional		$61.66	$83.18	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $1,000.00	Facility		$251.19	$446.68	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $204.17	Professional		$58.88	$79.43	$204.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $338.84 / $446.68	Facility		$60.26	$338.84	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $79.43	Facility		$54.95	$54.95	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $41.69	Facility		$40.74	$40.74	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $144.54	Professional		$66.07	$89.13	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $630.96	Professional		$562.34	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $3,548.13	Facility		$60.26	$91.20	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $134.90	Professional		$61.66	$85.11	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $85.11 / $138.04	Facility		$60.26	$85.11	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $151.36	Professional		$66.07	$89.13	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $109.65	Professional		$56.23	$74.13	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $79.43	Professional		$75.86	$79.43	$79.43