Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $742.82 / $2,013.07	Facility		$179.95	$742.82	$2,013.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $187.53 / $330.47	Professional		$162.18	$187.53	$330.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.19 / $672.83 / $1,168.34	Facility		$267.19	$672.83	$1,168.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $178.26 / $178.26	Professional		$151.52	$178.26	$178.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $433.92 / $486.51 / $941.01	Facility		$433.92	$486.51	$941.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $272.11 / $489.80	Professional		$253.33	$272.11	$489.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.38 / $331.38 / $373.24	Facility		$331.38	$331.38	$373.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $763.95 / $1,240.08	Facility		$263.20	$763.95	$1,240.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $248.96 / $484.30	Professional		$188.13	$248.96	$484.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.04 / $2,042.80 / $2,165.12	Facility		$1,623.04	$2,042.80	$2,165.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.86 / $1,543.86 / $1,894.80	Professional		$1,543.86	$1,543.86	$1,894.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.57 / $227.22 / $498.31	Facility		$112.57	$227.22	$498.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.49 / $259.94 / $525.00	Professional		$204.49	$259.94	$525.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $166.88 / $225.67 / $1,922.34	Facility		$166.88	$225.67	$1,922.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.51 / $434.14 / $734.72	Professional		$244.51	$434.14	$734.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.24 / $263.20 / $924.46	Facility		$113.24	$263.20	$924.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $249.91 / $484.30	Professional		$188.13	$249.91	$484.30
United Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $277.00 / $420.53	Professional		$211.05	$277.00	$420.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $261.20 / $330.09	Professional		$221.13	$261.20	$330.09