Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $1,575.60	Facility		$42.00	$50.00	$1,575.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $1,560.00	Professional		$38.00	$45.00	$1,560.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.20 / $1,255.00 / $1,932.70	Professional		$1,054.20	$1,255.00	$1,932.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,281.80 / $2,340.00	Professional		$988.00	$1,281.80	$2,340.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $40.00 / $80.00	Facility		$20.17	$40.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,750.00 / $2,450.00	Professional		$1,200.00	$1,750.00	$2,450.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $104.00 / $104.00	Facility		$82.00	$104.00	$104.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,857.28 / $5,857.28 / $12,480.00	Professional		$5,857.28	$5,857.28	$12,480.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $3,000.00 / $6,105.00	Facility		$105.80	$3,000.00	$6,105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.00 / $879.45 / $3,900.00	Professional		$533.00	$879.45	$3,900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $24.25 / $76.79	Professional		$19.88	$24.25	$76.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $2,500.00 / $6,105.00	Facility		$105.80	$2,500.00	$6,105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,750.00 / $2,375.00	Professional		$1,250.00	$1,750.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $56.10 / $90.00	Professional		$50.00	$56.10	$90.00