Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.39 / $2,080.00 / $7,316.00	Facility		$273.39	$2,080.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $183.98 / $371.23	Professional		$91.22	$183.98	$371.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $312.76 / $1,109.59	Facility		$176.88	$312.76	$1,109.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $218.42 / $343.61	Professional		$89.73	$218.42	$343.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $260.83 / $388.71	Professional		$228.46	$260.83	$388.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $84.80 / $240.55	Facility		$84.80	$84.80	$240.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.74 / $233.74 / $241.38	Facility		$233.74	$233.74	$241.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $210.48 / $364.25	Professional		$97.86	$210.48	$364.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $669.36	Facility		$55.00	$55.00	$669.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $869.29 / $1,939.05 / $2,003.03	Professional		$869.29	$1,939.05	$2,003.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.46 / $205.65 / $366.30	Facility		$86.46	$205.65	$366.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $249.78 / $386.02	Professional		$103.90	$249.78	$386.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $267.00 / $267.00	Professional		$267.00	$267.00	$267.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $214.88 / $371.81	Facility		$90.39	$214.88	$371.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $218.46 / $379.10	Professional		$99.05	$218.46	$379.10
United Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $2,376.00 / $4,764.00	Facility		$663.00	$2,376.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $240.36 / $355.09	Professional		$180.53	$240.36	$355.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $216.46 / $308.42	Professional		$193.80	$216.46	$308.42