Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.15 / $2,396.00 / $7,078.00	Facility		$253.15	$2,396.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $248.12 / $387.94	Professional		$163.25	$248.12	$387.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $169.71 / $650.14	Facility		$107.99	$169.71	$650.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $254.95 / $387.86	Professional		$163.36	$254.95	$387.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $125.96 / $168.07	Professional		$83.36	$125.96	$168.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $163.69 / $165.92	Facility		$80.00	$163.69	$165.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $293.79 / $456.50	Professional		$192.72	$293.79	$456.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $907.68	Facility		$55.00	$55.00	$907.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.68 / $2,057.60 / $2,451.08	Professional		$1,291.68	$2,057.60	$2,451.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $271.42 / $414.32	Facility		$181.28	$271.42	$414.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $327.90 / $500.01	Professional		$229.18	$327.90	$500.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $237.90 / $237.90	Professional		$237.90	$237.90	$237.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.70 / $272.88 / $417.92	Facility		$181.70	$272.88	$417.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $307.08 / $518.79	Professional		$193.28	$307.08	$518.79
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 $211.32 / $281.76 / $446.27	Professional		$211.32	$281.76	$446.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $268.67 / $378.43	Professional		$239.07	$268.67	$378.43