Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.61 / $2,496.00 / $7,495.00	Facility		$424.61	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.15 / $267.27 / $413.81	Professional		$185.15	$267.27	$413.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.59 / $2,580.16 / $5,144.45	Facility		$1,411.59	$2,580.16	$5,144.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $260.08 / $374.41	Professional		$178.02	$260.08	$374.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $265.07 / $1,012.50 / $2,698.00	Facility		$265.07	$1,012.50	$2,698.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $193.85 / $350.69	Facility		$193.85	$193.85	$350.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.92 / $345.22 / $509.19	Professional		$228.92	$345.22	$509.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,507.44	Facility		$55.00	$55.00	$1,507.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.84 / $2,434.08 / $2,871.68	Professional		$1,591.84	$2,434.08	$2,871.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.39 / $313.02 / $450.50	Facility		$209.39	$313.02	$450.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $412.41 / $613.66	Professional		$269.69	$412.41	$613.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $318.64 / $444.31	Professional		$210.75	$318.64	$444.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.39 / $313.02 / $450.50	Facility		$209.39	$313.02	$450.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $353.17 / $584.83	Professional		$238.50	$353.17	$584.83
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,562.00	Facility		$597.00	$2,100.00	$4,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.13 / $346.25 / $529.98	Professional		$258.13	$346.25	$529.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $318.64 / $445.20	Professional		$281.58	$318.64	$445.20