Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.87 / $3,102.00 / $10,639.00	Facility		$585.87	$3,102.00	$10,639.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,549.40 / $6,549.40 / $6,549.40	Facility	50	$6,549.40	$6,549.40	$6,549.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.51 / $477.12 / $732.54	Professional		$350.51	$477.12	$732.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.21 / $3,038.26 / $6,192.64	Facility		$1,630.21	$3,038.26	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $445.22 / $697.64	Professional		$335.08	$445.22	$697.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $197.79 / $225.54 / $319.89	Professional		$197.79	$225.54	$319.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $180.33 / $180.33 / $456.26	Facility		$180.33	$180.33	$456.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.38 / $506.44 / $762.28	Professional		$369.38	$506.44	$762.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,517.06 / $26,542.00 / $26,542.00	Facility		$2,517.06	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,670.80 / $3,628.37 / $3,859.88	Professional		$2,670.80	$3,628.37	$3,859.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.43 / $495.12 / $767.47	Facility		$363.43	$495.12	$767.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.04 / $561.21 / $763.25	Professional		$391.04	$561.21	$763.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $451.77 / $562.74	Professional		$343.98	$451.77	$562.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.43 / $502.77 / $823.72	Facility		$363.43	$502.77	$823.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $379.70 / $516.66 / $797.52	Professional		$379.70	$516.66	$797.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.62 / $472.77 / $718.61	Professional		$354.62	$472.77	$718.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.18 / $432.32 / $608.94	Professional		$383.18	$432.32	$608.94