Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $900.25 / $2,838.27	Facility		$416.78	$900.25	$2,838.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $496.87	Professional		$416.78	$416.78	$496.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $1,000.27 / $2,150.58	Facility		$416.78	$1,000.27	$2,150.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $562.65 / $750.20	Facility		$324.58	$562.65	$750.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.33 / $297.63 / $1,044.68	Facility		$263.33	$297.63	$1,044.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $507.69 / $608.27	Professional		$416.78	$507.69	$608.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $666.85 / $1,979.71 / $1,979.71	Facility		$666.85	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $625.16	Facility		$416.78	$416.78	$625.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $520.98	Professional		$416.78	$416.78	$520.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $500.14 / $871.07	Professional		$375.10	$500.14	$871.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.26 / $416.78 / $956.62	Facility		$354.26	$416.78	$956.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $458.46 / $729.37	Professional		$375.10	$458.46	$729.37
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $175.07 / $266.77	Professional		$165.11	$175.07	$266.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $166.71 / $416.78	Professional		$166.71	$166.71	$416.78