Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,598.00 / $7,495.00	Facility		$569.00	$2,598.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $426.80 / $721.02	Professional		$298.89	$426.80	$721.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,971.06 / $3,640.66 / $7,142.18	Facility		$1,971.06	$3,640.66	$7,142.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.57 / $429.83 / $626.65	Professional		$287.57	$429.83	$626.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $465.66 / $566.07	Professional		$355.82	$465.66	$566.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $318.18 / $321.00	Facility		$80.00	$318.18	$321.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $571.65 / $571.65	Facility		$571.65	$571.65	$571.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $514.91 / $802.66	Professional		$348.30	$514.91	$802.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,347.14 / $11,500.00 / $16,394.00	Facility		$2,347.14	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,459.36 / $3,504.40 / $4,169.47	Professional		$2,459.36	$3,504.40	$4,169.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.41 / $472.30 / $732.69	Facility		$326.41	$472.30	$732.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $435.64 / $619.83 / $858.22	Professional		$435.64	$619.83	$858.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.10 / $363.10 / $363.10	Professional		$363.10	$363.10	$363.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.12 / $475.08 / $747.33	Facility		$327.12	$475.08	$747.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.59 / $535.96 / $908.97	Professional		$360.59	$535.96	$908.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.51 / $492.37 / $752.07	Professional		$363.51	$492.37	$752.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.93 / $457.35 / $644.21	Professional		$406.93	$457.35	$644.21