Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.19 / $605.66 / $1,581.22	Facility		$240.19	$605.66	$1,581.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $227.21 / $389.50	Professional		$181.76	$227.21	$389.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.95 / $804.96 / $1,678.08	Facility		$421.95	$804.96	$1,678.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $178.52 / $454.41	Professional		$5.00	$178.52	$454.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $292.12 / $454.41	Professional		$227.21	$292.12	$454.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $324.58	Facility		$322.95	$322.95	$324.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.62 / $713.11 / $1,439.03	Facility		$218.62	$713.11	$1,439.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $258.31 / $552.91	Professional		$164.44	$258.31	$552.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.85 / $1,541.76 / $1,541.76	Facility		$588.85	$1,541.76	$1,541.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.90 / $1,622.90 / $2,434.35	Professional		$1,622.90	$1,622.90	$2,434.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.49 / $324.58 / $486.87	Facility		$204.49	$324.58	$486.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.35 / $324.58 / $405.73	Professional		$308.35	$324.58	$405.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $389.50 / $730.30	Professional		$210.98	$389.50	$730.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $388.43 / $1,257.02	Facility		$225.00	$388.43	$1,257.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $373.27 / $552.91	Professional		$165.47	$373.27	$552.91
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $138.60 / $207.73	Professional		$136.32	$138.60	$207.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $324.58 / $438.18	Professional		$126.59	$324.58	$438.18