Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $456.40 / $1,269.05	Facility		$156.30	$456.40	$1,269.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $171.93 / $211.01	Professional		$145.88	$171.93	$211.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $289.00 / $529.00	Facility		$110.00	$289.00	$529.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $260.50 / $260.50	Professional		$221.42	$260.50	$260.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $312.60 / $312.60	Facility		$312.60	$312.60	$312.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.45 / $611.40 / $1,381.38	Facility		$171.45	$611.40	$1,381.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $317.39 / $380.27	Professional		$317.39	$317.39	$380.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.80 / $1,237.38 / $1,237.38	Facility		$416.80	$1,237.38	$1,237.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.29 / $1,297.29 / $1,953.75	Professional		$1,297.29	$1,297.29	$1,953.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $260.50 / $388.15	Facility		$145.88	$260.50	$388.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $325.63	Professional		$260.50	$260.50	$325.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $325.62 / $586.12	Professional		$234.45	$325.62	$586.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.16 / $260.50 / $786.64	Facility		$153.16	$260.50	$786.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.07 / $286.55 / $455.88	Professional		$246.07	$286.55	$455.88
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $160.47	Professional		$109.41	$109.41	$160.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $78.00 / $260.50	Professional		$57.05	$78.00	$260.50