Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.49 / $1,938.00 / $6,691.00	Facility		$206.49	$1,938.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $172.28 / $260.23	Professional		$110.75	$172.28	$260.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $197.86 / $797.31	Facility		$112.04	$197.86	$797.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $174.76 / $291.86	Professional		$116.03	$174.76	$291.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $660.66 / $924.92	Facility		$197.18	$660.66	$924.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $172.19 / $172.19	Professional		$172.19	$172.19	$172.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.28 / $450.93 / $450.93	Facility		$114.28	$450.93	$450.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $176.90 / $176.90	Facility		$176.90	$176.90	$176.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $203.50 / $341.23	Professional		$133.04	$203.50	$341.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $889.98	Facility		$55.00	$55.00	$889.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,324.80 / $1,553.70	Professional		$912.00	$1,324.80	$1,553.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $186.37 / $333.73	Facility		$117.68	$186.37	$333.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $228.63 / $321.98	Professional		$159.80	$228.63	$321.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $170.50 / $170.50	Professional		$170.50	$170.50	$170.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $187.82 / $351.65	Facility		$117.68	$187.82	$351.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $212.80 / $366.32	Professional		$134.41	$212.80	$366.32
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $209.72 / $327.62	Professional		$151.66	$209.72	$327.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $171.63 / $242.19	Professional		$152.66	$171.63	$242.19