Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $2,124.00 / $7,316.00	Facility		$461.00	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.32 / $384.34 / $658.22	Professional		$241.32	$384.34	$658.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $300.00 / $721.29	Professional	50	$300.00	$300.00	$721.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $211.93 / $836.48	Facility		$125.49	$211.93	$836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $395.52 / $609.09	Professional		$230.50	$395.52	$609.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $414.24 / $534.48 / $732.43	Professional		$414.24	$534.48	$732.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.67 / $208.67 / $438.41	Facility		$208.67	$208.67	$438.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.10 / $197.10 / $203.54	Facility		$197.10	$197.10	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $434.15 / $706.75	Professional		$262.20	$434.15	$706.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,730.22	Facility		$55.00	$55.00	$1,730.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.00 / $4,146.17 / $4,283.00	Professional		$2,648.00	$4,146.17	$4,283.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.44 / $439.20 / $715.19	Facility		$257.44	$439.20	$715.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.64 / $415.17 / $659.34	Professional		$268.64	$415.17	$659.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $455.66 / $622.40	Professional		$269.70	$455.66	$622.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.60 / $438.93 / $739.22	Facility		$256.60	$438.93	$739.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $448.11 / $745.53	Professional		$267.45	$448.11	$745.53
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.13 / $441.84 / $657.75	Professional		$329.13	$441.84	$657.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.71 / $395.91 / $559.22	Professional		$351.71	$395.91	$559.22