Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $460.23 / $1,361.11	Facility		$173.57	$460.23	$1,361.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $194.61 / $302.44	Professional		$147.27	$194.61	$302.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.20 / $641.70 / $1,354.40	Facility		$323.20	$641.70	$1,354.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $144.63 / $368.19	Professional		$5.00	$144.63	$368.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $205.73 / $262.99 / $433.93	Facility		$205.73	$262.99	$433.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $251.25 / $368.19	Professional		$184.09	$251.25	$368.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $259.20 / $262.99	Facility		$259.20	$259.20	$262.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $617.21 / $1,171.66	Facility		$170.94	$617.21	$1,171.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $152.02 / $414.07	Professional		$120.79	$152.02	$414.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $420.78 / $1,249.20 / $1,249.20	Facility		$420.78	$1,249.20	$1,249.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.69 / $1,309.69 / $1,972.43	Professional		$1,309.69	$1,309.69	$1,972.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $262.99 / $420.78	Facility		$160.41	$262.99	$420.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $394.49	Professional		$262.99	$262.99	$394.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $335.55 / $789.00	Facility		$245.20	$335.55	$789.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $315.58 / $478.64	Professional		$249.84	$315.58	$478.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.10 / $270.77 / $947.22	Facility		$176.10	$270.77	$947.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $248.51 / $412.49	Professional		$124.49	$248.51	$412.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $186.86	Professional		$110.46	$110.46	$186.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $105.20 / $262.99	Professional		$105.20	$105.20	$262.99