Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.21 / $3,511.00 / $12,040.00	Facility		$718.21	$3,511.00	$12,040.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $628.50 / $2,823.00 / $7,773.50	Facility	50	$628.50	$2,823.00	$7,773.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.19 / $618.69 / $984.61	Professional		$433.19	$618.69	$984.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $596.84 / $596.84 / $596.84	Professional	50	$596.84	$596.84	$596.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,214.00	Facility		$1,664.27	$3,057.62	$6,214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.94 / $595.90 / $911.28	Professional		$409.94	$595.90	$911.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $220.78 / $831.60 / $2,599.73	Facility		$220.78	$831.60	$2,599.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $490.35 / $622.76 / $894.61	Professional		$490.35	$622.76	$894.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $383.15 / $1,632.25 / $1,632.25	Facility		$383.15	$1,632.25	$1,632.25
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 $460.00 / $657.62 / $957.99	Professional		$460.00	$657.62	$957.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,117.18 / $26,542.00 / $26,542.00	Facility		$3,117.18	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,165.00 / $4,634.47 / $5,333.93	Professional		$4,165.00	$4,634.47	$5,333.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.54 / $662.14 / $1,023.61	Facility		$455.54	$662.14	$1,023.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $484.26 / $726.98 / $1,053.58	Professional		$484.26	$726.98	$1,053.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $596.04 / $776.08	Professional		$426.39	$596.04	$776.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.54 / $668.32 / $1,080.29	Facility		$455.54	$668.32	$1,080.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.39 / $671.68 / $978.66	Professional		$469.39	$671.68	$978.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,239.00 / $7,600.00	Facility		$1,120.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.99 / $636.96 / $937.80	Professional		$485.99	$636.96	$937.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.95 / $596.04 / $840.73	Professional		$528.95	$596.04	$840.73