Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $6,918.31	Facility		$575.44	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $954.99	Professional		$457.09	$549.54	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $4,365.16	Facility		$1,288.25	$2,238.72	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $812.83	Professional		$467.74	$575.44	$812.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $891.25	Professional		$501.19	$691.83	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $660.69	Facility		$489.78	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,096.48	Professional		$501.19	$691.83	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $4,677.35	Professional		$3,981.07	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $2,238.72	Facility		$501.19	$707.95	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,096.48	Professional		$457.09	$691.83	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $407.38 / $489.78	Professional		$32.36	$407.38	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,905.46 / $2,290.87	Professional		$660.69	$1,905.46	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,122.02	Facility		$501.19	$676.08	$1,122.02
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	54	$588.84	$588.84	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,096.48	Professional		$489.78	$691.83	$1,096.48
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 $416.87 / $549.54 / $831.76	Professional		$416.87	$549.54	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $630.96	Professional		$588.84	$630.96	$630.96