Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.77 / $1,320.00 / $2,577.00	Facility		$507.77	$1,320.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.08 / $475.00 / $702.47	Professional		$324.08	$475.00	$702.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.86 / $1,228.52 / $2,056.38	Facility		$498.86	$1,228.52	$2,056.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $260.77 / $306.80	Professional		$53.16	$260.77	$306.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $312.00	Professional		$312.00	$312.00	$312.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $839.72 / $1,423.35	Facility		$337.40	$839.72	$1,423.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.60 / $455.85 / $859.54	Professional		$294.60	$455.85	$859.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,584.08 / $3,244.96 / $3,392.96	Facility		$2,584.08	$3,244.96	$3,392.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,814.89 / $2,899.34 / $2,989.43	Professional		$2,814.89	$2,899.34	$2,989.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.08 / $578.92 / $919.87	Facility		$324.08	$578.92	$919.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $820.25 / $883.26	Professional		$282.64	$820.25	$883.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $847.55 / $1,064.90	Professional		$140.27	$847.55	$1,064.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.23 / $583.41 / $928.00	Facility		$339.23	$583.41	$928.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $493.76 / $940.24	Professional		$298.77	$493.76	$940.24
United Facility/Professional Professional Modifier Low / Median / High Price $358.23 / $443.64 / $819.22	Professional		$358.23	$443.64	$819.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $276.01 / $459.03	Professional		$193.80	$276.01	$459.03