Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $247.06 / $27,953.33	Facility		$197.65	$247.06	$27,953.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $199.62 / $239.16	Professional		$197.83	$199.62	$239.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.10 / $508.98 / $1,015.55	Facility		$201.10	$508.98	$1,015.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $195.66 / $195.66	Professional		$195.66	$195.66	$195.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $227.30 / $24,916.84	Facility		$197.65	$227.30	$24,916.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $244.30 / $355.77	Professional		$197.65	$244.30	$355.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $201.65 / $201.65 / $201.65	Facility		$201.65	$201.65	$201.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $197.83 / $197.83	Facility		$186.63	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.16 / $970.40 / $989.15	Facility		$258.16	$970.40	$989.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $855.93	Professional		$855.93	$855.93	$855.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $197.83 / $407.53	Facility		$197.65	$197.83	$407.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $201.79 / $326.42	Professional		$197.83	$201.79	$326.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $221.82 / $406.40	Professional		$197.62	$221.82	$406.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $367.97	Facility		$197.83	$197.83	$367.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $238.08	Professional		$197.83	$197.83	$238.08
United Facility/Professional Facility Modifier Low / Median / High Price $320.23 / $320.23 / $320.23	Facility		$320.23	$320.23	$320.23
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $220.23	Professional		$197.83	$209.70	$220.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $197.83 / $276.95	Professional		$193.86	$197.83	$276.95