Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.02 / $3,184.00 / $9,139.45	Facility		$450.02	$3,184.00	$9,139.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,321.60 / $4,908.16 / $11,112.00	Facility	50	$3,321.60	$4,908.16	$11,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $357.67 / $538.41	Professional		$267.12	$357.67	$538.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $352.97 / $1,127.68 / $2,348.40	Professional	50	$352.97	$1,127.68	$2,348.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.84 / $310.49 / $1,250.13	Facility		$183.84	$310.49	$1,250.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.01 / $370.59 / $607.10	Professional		$267.01	$370.59	$607.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $149.62 / $350.97 / $5,069.04	Facility		$149.62	$350.97	$5,069.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $197.74 / $395.47	Professional		$197.74	$197.74	$395.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $244.47 / $751.78 / $751.78	Facility		$244.47	$751.78	$751.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.23 / $296.23 / $296.23	Facility		$296.23	$296.23	$296.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $434.26 / $691.28	Professional		$309.57	$434.26	$691.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,027.76	Facility		$55.00	$55.00	$2,027.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.40 / $2,759.20 / $3,216.75	Professional		$2,086.40	$2,759.20	$3,216.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $417.91 / $758.19	Facility		$279.33	$417.91	$758.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $364.57 / $483.16 / $668.99	Professional		$364.57	$483.16	$668.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $426.40 / $426.40	Professional		$426.40	$426.40	$426.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $421.05 / $758.19	Facility		$279.33	$421.05	$758.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.87 / $444.95 / $763.31	Professional		$313.87	$444.95	$763.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $426.76 / $659.53	Professional		$313.83	$426.76	$659.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $358.94 / $502.40	Professional		$317.20	$358.94	$502.40