Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $602.56 / $1,698.24	Facility		$229.09	$602.56	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $407.38	Professional		$199.53	$263.03	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,047.13 / $1,698.24	Facility		$398.11	$1,047.13	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $177.83 / $436.52	Professional		$5.01	$177.83	$436.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $436.52 / $537.03	Facility		$295.12	$436.52	$537.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $457.09	Professional		$229.09	$295.12	$457.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $660.69 / $1,445.44	Facility		$218.78	$660.69	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $602.56	Professional		$165.96	$309.03	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $2,454.71	Professional		$1,621.81	$2,454.71	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $870.96	Facility		$245.47	$323.59	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $257.04 / $407.38	Professional		$7.94	$257.04	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $323.59	Professional		$275.42	$275.42	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $691.83	Professional		$323.59	$354.81	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $1,174.90	Facility		$234.42	$380.19	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $562.34	Professional		$165.96	$323.59	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $323.59	Facility		$117.49	$134.90	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $223.87	Professional		$134.90	$138.04	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $323.59	Professional		$125.89	$275.42	$323.59