Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.33 / $874.25 / $2,450.09	Facility		$334.33	$874.25	$2,450.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.44 / $359.28 / $598.79	Professional		$279.44	$359.28	$598.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.69 / $1,272.45 / $2,879.23	Facility		$653.69	$1,272.45	$2,879.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $274.45 / $698.60	Professional		$5.00	$274.45	$698.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $449.10 / $698.60	Professional		$349.30	$449.10	$698.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $499.00 / $499.00	Facility		$80.00	$499.00	$499.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.08 / $1,004.92 / $2,125.55	Facility		$304.08	$1,004.92	$2,125.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $474.20 / $849.99	Professional		$252.89	$474.20	$849.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.55 / $3,120.21 / $3,120.21	Facility		$1,222.55	$3,120.21	$3,120.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,495.00 / $2,495.00 / $3,742.50	Professional		$2,495.00	$2,495.00	$3,742.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.37 / $499.00 / $798.40	Facility		$314.37	$499.00	$798.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $662.71	Professional		$499.00	$499.00	$662.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.35 / $598.79 / $1,122.75	Professional		$324.35	$598.79	$1,122.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.35 / $598.79 / $1,671.65	Facility		$324.35	$598.79	$1,671.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $598.79 / $873.25	Professional		$254.55	$598.79	$873.25
United Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $499.00 / $598.79	Facility		$209.58	$499.00	$598.79
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $209.58 / $343.06	Professional		$209.58	$209.58	$343.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $499.00 / $673.65	Professional		$194.61	$499.00	$673.65