Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.94 / $1,230.11 / $7,542.00	Facility		$242.94	$1,230.11	$7,542.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $166.33 / $200.54 / $322.89	Facility	54	$166.33	$200.54	$322.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $274.61 / $472.38	Professional		$222.40	$274.61	$472.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $345.02 / $773.64	Facility		$189.76	$345.02	$773.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $314.41 / $445.19	Professional		$248.39	$314.41	$445.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $264.30 / $528.98	Facility		$225.24	$264.30	$528.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $217.19 / $217.19 / $297.89	Facility		$217.19	$217.19	$297.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.19 / $349.86 / $538.92	Professional		$262.19	$349.86	$538.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,411.32	Facility		$55.00	$55.00	$1,411.32
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $885.90 / $987.92 / $987.92	Facility	54	$885.90	$987.92	$987.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.96 / $2,222.64 / $2,597.25	Professional		$1,986.96	$2,222.64	$2,597.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.76 / $321.30 / $504.81	Facility		$244.76	$321.30	$504.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.79 / $416.16 / $530.61	Professional		$344.79	$416.16	$530.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.67 / $461.99 / $744.83	Professional		$322.67	$461.99	$744.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $322.93 / $521.89	Facility		$245.60	$322.93	$521.89
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $552.46	Facility	54	$322.54	$322.54	$552.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.41 / $369.89 / $569.41	Professional		$268.41	$369.89	$569.41
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.70 / $295.20 / $453.26	Professional		$218.70	$295.20	$453.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.70 / $286.29 / $401.09	Professional		$253.70	$286.29	$401.09