Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,290.87 / $6,918.31	Facility		$562.34	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,230.27	Professional		$457.09	$575.44	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $537.03 / $2,137.96	Facility		$302.00	$537.03	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $933.25	Professional		$489.78	$616.60	$933.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $954.99 / $3,715.35	Facility		$269.15	$954.99	$3,715.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $616.60	Facility		$446.68	$446.68	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,148.15	Professional		$549.54	$724.44	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,370.32 / $5,370.32	Professional		$5,248.07	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $3,388.44	Facility		$478.63	$741.31	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,148.15	Professional		$467.74	$676.08	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,318.26	Professional		$478.63	$831.76	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,174.90	Facility		$457.09	$660.69	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,023.29	Professional		$457.09	$616.60	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56