Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.86 / $3,481.00 / $12,040.00	Facility		$576.86	$3,481.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $473.94 / $761.63	Professional		$335.36	$473.94	$761.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.71 / $2,182.42 / $4,653.10	Facility		$1,166.71	$2,182.42	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.94 / $479.26 / $700.30	Professional		$336.94	$479.26	$700.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $207.11 / $366.13	Professional		$192.29	$207.11	$366.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $334.27 / $335.35	Facility		$80.00	$334.27	$335.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $623.66 / $623.66	Facility		$623.66	$623.66	$623.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.06 / $589.62 / $923.93	Professional		$395.06	$589.62	$923.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,733.72 / $11,500.00 / $26,542.00	Facility		$1,733.72	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.76 / $3,771.44 / $4,314.68	Professional		$2,709.76	$3,771.44	$4,314.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $550.53 / $846.56	Facility		$377.00	$550.53	$846.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $466.77 / $653.89 / $905.38	Professional		$466.77	$653.89	$905.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.40 / $628.83 / $1,060.51	Professional		$416.40	$628.83	$1,060.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $554.07 / $863.52	Facility		$377.00	$554.07	$863.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $615.39 / $999.11	Professional		$403.00	$615.39	$999.11
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,287.00	Facility		$374.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.71 / $554.28 / $885.60	Professional		$415.71	$554.28	$885.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.29 / $485.64 / $681.93	Professional		$429.29	$485.64	$681.93