Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $2,818.38	Facility		$416.87	$831.76	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $2,137.96	Facility		$416.87	$1,023.29	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $1,513.56	Facility		$295.12	$549.54	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $954.99	Facility		$269.15	$316.23	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $602.56	Professional		$416.87	$512.86	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $3,090.30	Professional		$2,089.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $1,288.25	Facility		$416.87	$501.19	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $426.58	Professional		$416.87	$416.87	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $891.25	Professional		$416.87	$446.68	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $436.52 / $891.25	Facility		$398.11	$436.52	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $724.44	Professional		$371.54	$436.52	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $416.87	Facility		$151.36	$173.78	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $416.87	Professional		$162.18	$416.87	$416.87