Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $6,762.00	Facility		$425.00	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $96.28 / $156.37	Professional		$84.86	$96.28	$156.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.60 / $2,168.71 / $4,543.31	Facility		$1,221.60	$2,168.71	$4,543.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $110.19 / $156.33	Professional		$87.10	$110.19	$156.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,350.15 / $3,697.00 / $6,180.79	Facility		$2,350.15	$3,697.00	$6,180.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $65.12 / $65.12	Professional		$65.12	$65.12	$65.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $85.22 / $85.22	Facility		$85.22	$85.22	$85.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $132.13 / $207.20	Professional		$97.88	$132.13	$207.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,017.35 / $12,000.00 / $12,000.00	Facility		$4,017.35	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.00 / $1,509.00 / $1,509.00	Professional		$1,509.00	$1,509.00	$1,509.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $125.69 / $251.91	Facility		$92.24	$125.69	$251.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $142.03 / $167.09	Professional		$120.68	$142.03	$167.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $146.10 / $146.10	Professional		$146.10	$146.10	$146.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $129.30 / $251.91	Facility		$92.24	$129.30	$251.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $133.75 / $220.38	Professional		$100.43	$133.75	$220.38
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,045.00 / $4,509.00	Facility		$564.00	$2,045.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $109.97 / $169.95	Professional		$79.98	$109.97	$169.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $89.82 / $125.51	Professional		$79.23	$89.82	$125.51