Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $263.11 / $435.96	Facility		$217.09	$263.11	$435.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $219.26 / $260.51	Professional		$217.09	$219.26	$260.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $472.92 / $943.59	Facility		$186.85	$472.92	$943.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $212.02 / $212.02	Professional		$212.02	$212.02	$212.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $249.65 / $11,586.51	Facility		$217.09	$249.65	$11,586.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $222.21 / $222.21 / $222.21	Facility		$222.21	$222.21	$222.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $217.09 / $217.09	Facility		$204.80	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.67 / $1,073.80 / $1,085.45	Facility		$285.67	$1,073.80	$1,085.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $948.17 / $948.17 / $948.17	Professional		$948.17	$948.17	$948.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $457.05	Facility		$217.09	$217.09	$457.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $221.43 / $358.20	Professional		$217.09	$221.43	$358.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $244.43 / $379.90	Professional		$212.75	$244.43	$379.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $424.52	Facility		$217.09	$217.09	$424.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $268.45	Professional		$217.09	$217.09	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.12 / $241.67	Professional		$217.09	$230.12	$241.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $217.09 / $303.93	Professional		$214.76	$217.09	$303.93