Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $3,570.00 / $10,893.00	Facility		$524.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.92 / $388.44 / $728.22	Professional		$335.92	$388.44	$728.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.24 / $1,186.16 / $1,186.16	Professional		$1,008.24	$1,186.16	$1,186.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $167.00 / $173.77	Professional		$141.94	$167.00	$173.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $2,024.00 / $4,619.00	Facility		$413.28	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.21 / $464.11 / $737.45	Professional		$363.21	$464.11	$737.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,280.00	Facility		$55.00	$55.00	$16,280.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,060.00 / $16,280.00 / $16,280.00	Professional		$14,060.00	$16,280.00	$16,280.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.13 / $439.39 / $847.09	Facility		$353.13	$439.39	$847.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.16 / $262.16 / $399.92	Professional		$262.16	$262.16	$399.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $471.80 / $537.29	Professional		$471.80	$471.80	$537.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.13 / $438.91 / $1,002.32	Facility		$353.13	$438.91	$1,002.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $463.33 / $712.66	Professional		$348.78	$463.33	$712.66
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.29 / $366.15 / $599.92	Professional		$266.29	$366.15	$599.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.92 / $423.96 / $564.30	Professional		$399.92	$423.96	$564.30