Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $112.78 / $243.55	Facility		$36.28	$112.78	$243.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $32.38 / $52.48	Professional		$30.23	$32.38	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.55 / $2,556.84 / $4,153.68	Facility		$1,045.55	$2,556.84	$4,153.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $15.98 / $15.98	Professional		$15.98	$15.98	$15.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $914.11 / $1,606.50	Facility		$30.81	$914.11	$1,606.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $976.37 / $5,131.85 / $6,017.35	Facility		$976.37	$5,131.85	$6,017.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,749.92 / $5,749.92 / $9,483.75	Professional		$5,749.92	$5,749.92	$9,483.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $34.59 / $846.14	Facility		$27.31	$34.59	$846.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.04 / $410.04 / $410.04	Professional		$410.04	$410.04	$410.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $656.43 / $1,187.22 / $1,736.84	Professional		$656.43	$1,187.22	$1,736.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $450.36 / $1,742.67	Facility		$34.97	$450.36	$1,742.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $49.04 / $691.72	Professional		$41.22	$49.04	$691.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.64 / $1,502.99 / $1,982.67	Facility		$1,445.64	$1,502.99	$1,982.67
United Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $34.86 / $62.91	Professional		$26.61	$34.86	$62.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $1,500.00 / $2,025.00	Professional		$38.22	$1,500.00	$2,025.00