Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $2,020.00 / $6,691.00	Facility		$243.82	$2,020.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $227.59 / $320.12	Professional		$159.34	$227.59	$320.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $198.29 / $779.93	Facility		$135.13	$198.29	$779.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $217.31 / $365.99	Professional		$152.97	$217.31	$365.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $317.26 / $317.26 / $317.26	Professional		$317.26	$317.26	$317.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $146.61 / $146.61 / $230.07	Facility		$146.61	$146.61	$230.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $207.55 / $2,530.00	Facility		$175.15	$207.55	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.01 / $263.95 / $436.49	Professional		$176.01	$263.95	$436.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,173.72	Facility		$55.00	$55.00	$1,173.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.44 / $1,688.96 / $1,968.90	Professional		$1,209.44	$1,688.96	$1,968.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.23 / $239.58 / $402.63	Facility		$165.23	$239.58	$402.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $295.62 / $409.32	Professional		$211.09	$295.62	$409.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $250.80 / $618.50	Professional		$5.00	$250.80	$618.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.23 / $242.02 / $454.00	Facility		$165.23	$242.02	$454.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $292.13 / $511.35	Professional		$184.37	$292.13	$511.35
United Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,494.00 / $4,795.00	Facility		$630.00	$2,494.00	$4,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $251.23 / $391.23	Professional		$188.54	$251.23	$391.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $226.96 / $307.83	Professional		$194.08	$226.96	$307.83