Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.13 / $2,017.00 / $6,386.00	Facility		$125.13	$2,017.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $110.87 / $164.19	Professional		$56.19	$110.87	$164.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.21 / $144.96 / $587.52	Facility		$85.21	$144.96	$587.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $99.84 / $198.83	Professional		$55.40	$99.84	$198.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.50 / $480.01 / $3,819.97	Facility		$147.50	$480.01	$3,819.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $42.07 / $42.07	Professional		$42.07	$42.07	$42.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $54.16 / $54.16	Facility		$54.16	$54.16	$54.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.33 / $132.33 / $132.33	Facility		$132.33	$132.33	$132.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $122.73 / $219.79	Professional		$65.98	$122.73	$219.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $356.15	Facility		$55.00	$55.00	$356.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.00 / $1,265.00 / $1,265.00	Professional		$1,265.00	$1,265.00	$1,265.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $127.67 / $219.19	Facility		$61.64	$127.67	$219.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $135.21 / $221.26	Professional		$77.79	$135.21	$221.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $123.10 / $123.10	Professional		$123.10	$123.10	$123.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $128.27 / $225.00	Facility		$62.00	$128.27	$225.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $126.66 / $234.27	Professional		$67.23	$126.66	$234.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $143.69 / $222.09	Professional		$104.51	$143.69	$222.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $117.63 / $166.68	Professional		$104.91	$117.63	$166.68