Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $481.51 / $1,349.42	Facility		$181.39	$481.51	$1,349.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $193.10 / $392.96	Professional		$164.90	$193.10	$392.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.03 / $687.07 / $1,451.10	Facility		$360.03	$687.07	$1,451.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $151.16 / $384.76	Professional		$5.00	$151.16	$384.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $262.58 / $384.76 / $494.69	Facility		$262.58	$384.76	$494.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $282.11 / $618.37	Professional		$192.38	$282.11	$618.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Facility		$274.83	$274.83	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $600.23 / $1,216.42	Facility		$200.23	$600.23	$1,216.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $261.08 / $432.59	Professional		$139.22	$261.08	$432.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $673.33 / $1,305.44 / $1,305.44	Facility		$673.33	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.14 / $274.83 / $439.73	Facility		$173.14	$274.83	$439.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $274.83 / $343.54	Professional		$261.08	$274.83	$343.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $329.80 / $618.37	Professional		$178.64	$329.80	$618.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $322.79 / $920.68	Facility		$192.38	$322.79	$920.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $316.05 / $432.59	Professional		$140.25	$316.05	$432.59
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $274.83	Professional		$115.43	$115.43	$274.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $274.83 / $371.02	Professional		$107.18	$274.83	$371.02