Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.16 / $2,315.00 / $7,542.00	Facility		$582.16	$2,315.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $522.91 / $875.58	Professional		$339.08	$522.91	$875.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.17 / $3,501.52 / $6,910.29	Facility		$1,739.17	$3,501.52	$6,910.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $569.79 / $1,037.91	Professional		$349.78	$569.79	$1,037.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $689.94 / $2,250.00	Facility		$147.18	$689.94	$2,250.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $355.06 / $355.06 / $664.38	Facility		$355.06	$355.06	$664.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.30 / $667.52 / $1,062.52	Professional		$430.30	$667.52	$1,062.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,025.78 / $16,394.00 / $16,394.00	Facility		$2,025.78	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,965.68 / $4,612.00 / $5,466.60	Professional		$2,965.68	$4,612.00	$5,466.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.53 / $603.00 / $1,000.39	Facility		$390.53	$603.00	$1,000.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.20 / $783.19 / $1,165.38	Professional		$504.20	$783.19	$1,165.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $388.63 / $603.85 / $777.08	Professional		$388.63	$603.85	$777.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.53 / $603.00 / $1,013.08	Facility		$390.53	$603.00	$1,013.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.54 / $712.54 / $1,187.56	Professional		$441.54	$712.54	$1,187.56
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $4,032.00	Facility		$374.00	$1,529.00	$4,032.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.66 / $713.21 / $1,083.03	Professional		$545.66	$713.21	$1,083.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $534.74 / $603.85 / $845.39	Professional		$534.74	$603.85	$845.39