Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $3,445.00 / $10,836.00	Facility		$77.01	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $80.53 / $122.42	Professional		$60.83	$80.53	$122.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.75 / $419.26 / $963.58	Facility		$194.75	$419.26	$963.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $75.05 / $123.22	Professional		$58.17	$75.05	$123.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $287.49 / $392.97	Facility		$60.34	$287.49	$392.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $54.41 / $80.27	Facility		$54.41	$54.41	$80.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $40.61 / $41.94	Facility		$40.61	$40.61	$41.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $88.43 / $139.34	Professional		$64.63	$88.43	$139.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $441.96	Facility		$55.00	$55.00	$441.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $561.28 / $633.60	Professional		$472.96	$561.28	$633.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $85.01 / $133.61	Facility		$61.38	$85.01	$133.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $93.65 / $119.04	Professional		$68.67	$93.65	$119.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $132.80 / $132.80	Professional		$132.80	$132.80	$132.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $85.16 / $136.77	Facility		$61.06	$85.16	$136.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $90.09 / $143.75	Professional		$67.56	$90.09	$143.75
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $79.72 / $119.24	Professional		$59.77	$79.72	$119.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $72.37 / $100.78	Professional		$63.50	$72.37	$100.78