Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $2,514.00 / $7,495.00	Facility		$624.00	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $609.34 / $917.91	Professional		$419.72	$609.34	$917.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,017.00 / $5,844.30	Facility		$1,664.27	$3,017.00	$5,844.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.44 / $551.04 / $872.69	Professional		$399.44	$551.04	$872.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $332.10 / $3,066.84	Facility		$96.60	$332.10	$3,066.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $361.10 / $361.10 / $615.44	Facility		$361.10	$361.10	$615.44
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 $434.67 / $627.62 / $910.99	Professional		$434.67	$627.62	$910.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $16,394.00 / $16,394.00	Facility		$2,979.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,168.08 / $4,921.06 / $5,083.46	Professional		$3,168.08	$4,921.06	$5,083.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.44 / $622.05 / $1,004.35	Facility		$422.44	$622.05	$1,004.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.27 / $675.75 / $1,036.96	Professional		$463.27	$675.75	$1,036.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.41 / $555.51 / $722.34	Professional		$402.41	$555.51	$722.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.44 / $626.54 / $1,070.08	Facility		$422.44	$626.54	$1,070.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.35 / $642.60 / $928.29	Professional		$453.35	$642.60	$928.29
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 $458.42 / $610.64 / $901.20	Professional		$458.42	$610.64	$901.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.68 / $555.51 / $780.93	Professional		$491.68	$555.51	$780.93