Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $2,288.96 / $5,376.62	Facility		$115.63	$2,288.96	$5,376.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $124.88 / $231.26	Professional		$115.63	$124.88	$231.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $125.69 / $125.69	Professional		$125.69	$125.69	$125.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $182.28 / $198.08 / $264.11	Facility		$182.28	$198.08	$264.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $264.11 / $264.11 / $264.11	Facility		$264.11	$264.11	$264.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $166.41	Professional		$166.41	$166.41	$166.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.98 / $1,298.03 / $1,298.03	Facility		$1,140.98	$1,298.03	$1,298.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.05 / $1,327.05 / $1,935.98	Professional		$1,327.05	$1,327.05	$1,935.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $184.07 / $264.11	Facility		$76.44	$184.07	$264.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $242.98 / $268.08	Professional		$77.30	$242.98	$268.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $86.20 / $86.20	Professional		$86.20	$86.20	$86.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $185.30 / $264.11	Facility		$76.44	$185.30	$264.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $222.92	Professional		$166.41	$166.41	$222.92
United Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $145.96 / $178.39	Professional		$98.67	$145.96	$178.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $143.61 / $264.11	Professional		$142.54	$143.61	$264.11