Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $295.51 / $531.91	Facility		$243.71	$295.51	$531.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.15 / $295.02	Professional		$243.71	$246.15	$295.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.47 / $606.10 / $1,209.32	Facility		$239.47	$606.10	$1,209.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $244.20 / $244.20	Professional		$244.20	$244.20	$244.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $230.98 / $230.98 / $18,176.43	Facility		$230.98	$230.98	$18,176.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $16,809.45 / $16,809.45 / $16,809.45	Facility		$16,809.45	$16,809.45	$16,809.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $243.71 / $243.71	Facility		$229.92	$243.71	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $1,200.70 / $1,218.55	Facility		$319.44	$1,200.70	$1,218.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.88 / $1,059.88 / $1,059.88	Professional		$1,059.88	$1,059.88	$1,059.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.82 / $502.04	Facility		$243.71	$243.82	$502.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $248.58 / $402.12	Professional		$243.71	$248.58	$402.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $272.18 / $484.00	Professional		$242.49	$272.18	$484.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $453.30	Facility		$243.71	$243.71	$453.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $295.50	Professional		$243.71	$243.71	$295.50
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $271.30	Professional		$243.71	$258.33	$271.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $243.71 / $341.19	Professional		$240.06	$243.71	$341.19