Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $1,047.13	Facility		$125.89	$302.00	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $257.04	Professional		$120.23	$162.18	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $645.65 / $1,096.48	Facility		$245.47	$645.65	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $112.20 / $275.42	Professional		$5.01	$112.20	$275.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $776.25	Facility		$190.55	$281.84	$776.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $281.84	Professional		$141.25	$275.42	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $213.80	Facility		$204.17	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $891.25	Facility		$131.83	$363.08	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $346.74	Professional		$91.20	$128.82	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,513.56	Professional		$1,023.29	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $676.08	Facility		$151.36	$204.17	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $162.18 / $251.19	Professional		$7.94	$162.18	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Professional		$169.82	$169.82	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $426.58	Professional		$204.17	$218.78	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $588.84	Facility		$144.54	$218.78	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $316.23	Professional		$91.20	$138.04	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $204.17	Facility		$72.44	$85.11	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $138.04	Professional		$85.11	$85.11	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $204.17	Professional		$79.43	$169.82	$204.17