Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,124.00 / $7,316.00	Facility		$494.00	$2,124.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $1,134.67 / $1,631.09	Professional		$239.26	$1,134.67	$1,631.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.37 / $5,172.41 / $14,543.00	Facility		$2,873.37	$5,172.41	$14,543.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $963.46 / $1,521.25	Professional		$218.75	$963.46	$1,521.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $232.15 / $232.15 / $5,069.04	Facility		$232.15	$232.15	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $214.28 / $214.28 / $214.28	Facility		$214.28	$214.28	$214.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $564.87 / $2,414.21	Professional		$274.54	$564.87	$2,414.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,101.16	Facility		$55.00	$55.00	$2,101.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,266.53 / $9,842.37 / $11,157.78	Professional		$4,266.53	$9,842.37	$11,157.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.95 / $1,094.93 / $2,862.04	Facility		$259.95	$1,094.93	$2,862.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $405.30 / $1,915.57	Professional		$301.08	$405.30	$1,915.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.21 / $1,005.32 / $2,078.77	Professional		$232.21	$1,005.32	$2,078.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.95 / $1,113.04 / $2,929.54	Facility		$259.95	$1,113.04	$2,929.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.72 / $787.07 / $2,465.38	Professional		$285.72	$787.07	$2,465.38
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $949.00 / $2,287.00	Facility		$155.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.58 / $1,503.06 / $2,491.59	Professional		$1,085.58	$1,503.06	$2,491.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $934.22 / $1,042.79 / $1,483.14	Professional		$934.22	$1,042.79	$1,483.14