Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.52 / $2,090.00 / $7,105.00	Facility		$496.52	$2,090.00	$7,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.57 / $558.87 / $864.82	Professional		$455.57	$558.87	$864.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.26 / $536.79 / $1,967.99	Facility		$293.26	$536.79	$1,967.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.09 / $608.94 / $890.09	Professional		$481.09	$608.94	$890.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $619.53 / $2,413.35	Facility		$265.99	$619.53	$2,413.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $443.69 / $443.69 / $613.79	Facility		$443.69	$443.69	$613.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.86 / $703.04 / $1,130.79	Professional		$536.86	$703.04	$1,130.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,681.04	Facility		$55.00	$55.00	$2,681.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,853.12 / $5,064.29 / $5,380.58	Professional		$3,853.12	$5,064.29	$5,380.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $671.10 / $1,109.29	Facility		$496.56	$671.10	$1,109.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $871.74 / $1,158.17	Professional		$622.66	$871.74	$1,158.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.56 / $614.76 / $763.84	Professional		$463.56	$614.76	$763.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $671.10 / $1,127.44	Facility		$496.56	$671.10	$1,127.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.52 / $741.50 / $1,205.00	Professional		$554.52	$741.50	$1,205.00
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 $495.99 / $661.32 / $1,046.99	Professional		$495.99	$661.32	$1,046.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.42 / $601.39 / $841.95	Professional		$531.42	$601.39	$841.95