Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,836.00	Facility		$657.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.59 / $483.05 / $667.13	Professional		$253.59	$483.05	$667.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $519.29 / $715.83	Professional		$401.63	$519.29	$715.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $424.65 / $424.65 / $424.65	Professional		$424.65	$424.65	$424.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $373.47 / $373.47 / $373.47	Facility		$373.47	$373.47	$373.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.67 / $494.47 / $801.90	Professional		$340.67	$494.47	$801.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,960.05	Facility		$55.00	$55.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,236.88 / $3,321.36 / $3,743.63	Professional		$3,236.88	$3,321.36	$3,743.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.95 / $445.88 / $902.70	Facility		$304.95	$445.88	$902.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $665.15 / $782.53	Professional		$565.16	$665.15	$782.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.41 / $433.94 / $751.06	Professional		$372.41	$433.94	$751.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.95 / $450.47 / $989.82	Facility		$304.95	$450.47	$989.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.67 / $512.29 / $849.29	Professional		$340.67	$512.29	$849.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $392.60 / $736.72	Professional		$235.56	$392.60	$736.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.04 / $424.65 / $585.82	Professional		$371.04	$424.65	$585.82