Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,943.28	Facility		$707.95	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $630.96	Professional		$234.42	$371.54	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $1,445.44	Facility		$218.78	$354.81	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $549.54	Professional		$213.80	$338.84	$549.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $416.87	Professional		$354.81	$398.11	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,479.11 / $1,479.11	Facility		$194.98	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $602.56	Professional		$245.47	$371.54	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,905.46	Facility		$54.95	$56.23	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,630.78	Professional		$3,019.95	$3,019.95	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $3,801.89	Facility		$234.42	$467.74	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $660.69	Professional		$234.42	$380.19	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $190.55 / $309.03	Professional		$32.36	$190.55	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $436.52	Professional		$208.93	$354.81	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $602.56	Facility		$223.87	$389.05	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $616.60	Professional		$245.47	$380.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $478.63	Professional		$208.93	$309.03	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Professional		$363.08	$380.19	$380.19