Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,500.00 / $7,495.00	Facility		$515.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.41 / $352.56 / $587.69	Professional		$225.41	$352.56	$587.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.36 / $353.49 / $1,440.04	Facility		$202.36	$353.49	$1,440.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $339.81 / $502.48	Professional		$214.41	$339.81	$502.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $356.41 / $409.87 / $546.72	Professional		$356.41	$409.87	$546.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $193.21 / $778.98 / $778.98	Facility		$193.21	$778.98	$778.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.33 / $278.33 / $287.43	Facility		$278.33	$278.33	$287.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $368.85 / $572.16	Professional		$239.72	$368.85	$572.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,601.88	Facility		$55.00	$55.00	$1,601.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.48 / $3,052.88 / $3,645.68	Professional		$1,706.48	$3,052.88	$3,645.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.94 / $374.43 / $613.91	Facility		$234.94	$374.43	$613.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.07 / $390.32 / $603.23	Professional		$249.07	$390.32	$603.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.98 / $358.29 / $445.32	Professional		$214.98	$358.29	$445.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.94 / $374.43 / $639.13	Facility		$234.94	$374.43	$639.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.37 / $379.62 / $615.79	Professional		$244.37	$379.62	$615.79
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 $282.86 / $377.14 / $587.51	Professional		$282.86	$377.14	$587.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.85 / $341.70 / $481.15	Professional		$302.85	$341.70	$481.15