Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $83.01 / $3,224.25	Facility		$81.06	$83.01	$3,224.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $83.01 / $127.41	Professional		$74.73	$83.01	$127.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.65 / $2,098.82 / $4,487.07	Facility		$1,160.65	$2,098.82	$4,487.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $91.71 / $133.53	Professional		$73.90	$91.71	$133.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $1,809.34 / $5,267.05	Facility		$588.72	$1,809.34	$5,267.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Facility		$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $109.77 / $200.16	Professional		$109.77	$109.77	$200.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,989.20	Facility		$55.00	$55.00	$4,989.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $105.19 / $217.14	Facility		$81.01	$105.19	$217.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $120.76 / $142.07	Professional		$102.61	$120.76	$142.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $100.90 / $100.90	Professional		$100.90	$100.90	$100.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $108.00 / $217.14	Facility		$81.01	$108.00	$217.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $139.49 / $236.61	Professional		$77.22	$139.49	$236.61
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $93.99 / $149.09	Professional		$68.00	$93.99	$149.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $77.22 / $106.99	Professional		$67.36	$77.22	$106.99