Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.17 / $887.96 / $2,569.12	Facility		$354.17	$887.96	$2,569.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $371.54 / $1,005.44	Professional		$265.63	$371.54	$1,005.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.74 / $1,468.78 / $2,499.50	Facility		$561.74	$1,468.78	$2,499.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.67 / $391.67 / $391.67	Professional		$391.67	$391.67	$391.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $867.71 / $1,012.32 / $1,926.59	Facility		$867.71	$1,012.32	$1,926.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $394.35 / $709.83	Professional		$367.09	$394.35	$709.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $668.85 / $1,761.50 / $1,905.32	Facility		$668.85	$1,761.50	$1,905.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,343.00 / $2,343.00 / $2,940.23	Professional		$2,343.00	$2,343.00	$2,940.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.04 / $392.56 / $732.87	Facility		$258.04	$392.56	$732.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $422.66 / $2,071.50	Professional		$317.58	$422.66	$2,071.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $443.56 / $599.80 / $5,109.45	Facility		$443.56	$599.80	$5,109.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $646.76 / $793.27 / $892.53	Professional		$646.76	$793.27	$892.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.86 / $414.85 / $832.33	Facility		$294.86	$414.85	$832.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $317.58 / $422.66	Professional		$317.58	$317.58	$422.66
United Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $473.82 / $578.79	Professional		$303.89	$473.82	$578.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.90 / $411.90 / $556.07	Professional		$411.90	$411.90	$556.07