Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.55 / $1,350.00 / $2,577.00	Facility		$472.55	$1,350.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $438.42 / $651.17	Professional		$301.08	$438.42	$651.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.11 / $1,060.67 / $1,872.51	Facility		$440.11	$1,060.67	$1,872.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $258.83 / $418.15	Professional		$98.03	$258.83	$418.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $336.56 / $373.00	Professional		$305.95	$336.56	$373.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $305.17 / $305.17 / $376.92	Facility		$305.17	$305.17	$376.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.74 / $747.45 / $1,568.00	Facility		$332.74	$747.45	$1,568.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.75 / $496.34 / $902.90	Professional		$279.75	$496.34	$902.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,408.40 / $3,029.20 / $3,321.04	Facility		$2,408.40	$3,029.20	$3,321.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,008.41 / $3,166.97 / $3,166.97	Professional		$3,008.41	$3,166.97	$3,166.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.08 / $573.92 / $870.05	Facility		$312.08	$573.92	$870.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $400.69 / $528.91 / $822.34	Professional		$400.69	$528.91	$822.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $291.61 / $597.98	Professional		$85.73	$291.61	$597.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.13 / $592.84 / $931.19	Facility		$313.13	$592.84	$931.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $529.19 / $986.50	Professional		$301.77	$529.19	$986.50
United Facility/Professional Facility Modifier Low / Median / High Price $308.11 / $555.57 / $650.16	Facility		$308.11	$555.57	$650.16
United Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $482.02 / $803.36	Professional		$340.97	$482.02	$803.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $305.95 / $435.40	Professional		$273.58	$305.95	$435.40