Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.50 / $1,899.00 / $5,872.00	Facility		$447.50	$1,899.00	$5,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $987.58 / $2,118.92	Facility		$570.54	$987.58	$2,118.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $135.94 / $340.20	Professional		$115.55	$135.94	$340.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $666.01 / $870.54 / $4,100.00	Facility		$666.01	$870.54	$4,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $437.65 / $437.65 / $437.65	Facility		$437.65	$437.65	$437.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.18 / $454.18 / $454.18	Facility		$454.18	$454.18	$454.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $8,490.00 / $12,000.00	Facility		$100.00	$8,490.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.88 / $2,061.88 / $2,144.36	Professional		$2,061.88	$2,061.88	$2,144.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $269.43	Facility		$45.89	$127.09	$269.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,042.00 / $4,336.00	Professional		$2,042.00	$2,042.00	$4,336.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $1,089.49 / $3,419.00	Facility		$206.15	$1,089.49	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $620.90 / $1,278.63 / $1,299.61	Professional		$620.90	$1,278.63	$1,299.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $269.43	Facility		$45.89	$127.09	$269.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $437.95 / $591.23	Professional		$437.95	$437.95	$591.23