Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $2,550.00 / $7,542.00	Facility		$586.00	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.30 / $512.23 / $804.47	Professional		$428.30	$512.23	$804.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.61 / $581.38 / $815.46	Professional		$461.61	$581.38	$815.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $243.02 / $678.27	Facility		$197.30	$243.02	$678.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $466.49 / $472.44	Facility		$80.00	$466.49	$472.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Facility		$853.34	$853.34	$853.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.57 / $666.42 / $1,030.98	Professional		$502.57	$666.42	$1,030.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,903.40 / $11,500.00 / $16,394.00	Facility		$2,903.40	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,653.92 / $3,981.42 / $4,407.60	Professional		$3,653.92	$3,981.42	$4,407.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.44 / $633.83 / $986.31	Facility		$481.44	$633.83	$986.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $622.26 / $746.72 / $925.93	Professional		$622.26	$746.72	$925.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.86 / $943.26 / $1,902.05	Professional		$592.86	$943.26	$1,902.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.87 / $642.73 / $1,018.28	Facility		$484.87	$642.73	$1,018.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.38 / $687.27 / $1,053.52	Professional		$515.38	$687.27	$1,053.52
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 $396.33 / $545.80 / $852.33	Professional		$396.33	$545.80	$852.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $487.56 / $679.24	Professional		$430.39	$487.56	$679.24