Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.68 / $426.54 / $1,359.18	Facility		$185.68	$426.54	$1,359.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $181.06 / $320.85	Professional		$139.50	$181.06	$320.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.07 / $488.25 / $1,386.63	Facility		$371.07	$488.25	$1,386.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $153.44 / $390.60	Professional		$5.00	$153.44	$390.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $286.39 / $627.75	Professional		$195.30	$286.39	$627.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $279.00	Facility		$250.00	$250.00	$279.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $524.10 / $1,187.60	Facility		$5.00	$524.10	$1,187.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $264.95 / $507.11	Professional		$130.85	$264.95	$507.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $543.10 / $1,325.25 / $1,325.25	Facility		$543.10	$1,325.25	$1,325.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.00 / $1,395.00 / $2,092.50	Professional		$1,395.00	$1,395.00	$2,092.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $279.00 / $418.50	Facility		$167.40	$279.00	$418.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $418.50	Professional		$279.00	$279.00	$418.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $334.80 / $627.75	Professional		$181.35	$334.80	$627.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.24 / $299.23 / $934.65	Facility		$156.24	$299.23	$934.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $320.85 / $475.10	Professional		$142.28	$320.85	$475.10
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $117.18 / $167.40	Professional		$55.76	$117.18	$167.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $279.00 / $376.65	Professional		$108.81	$279.00	$376.65