Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $1,051.20 / $2,946.00	Facility		$396.00	$1,051.20	$2,946.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $402.00 / $720.00	Professional		$336.00	$402.00	$720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $737.40 / $1,464.00 / $3,090.00	Facility		$737.40	$1,464.00	$3,090.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $330.00 / $840.00	Professional		$5.00	$330.00	$840.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $840.00 / $1,350.00	Professional		$420.00	$840.00	$1,350.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $600.00 / $600.00	Facility		$80.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.68 / $1,309.04 / $2,673.96	Facility		$399.68	$1,309.04	$2,673.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $336.09 / $937.69	Professional		$273.20	$336.09	$937.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.08 / $2,850.00 / $2,850.00	Facility		$1,197.08	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $4,500.00	Professional		$3,000.00	$3,000.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $600.00 / $900.00	Facility		$366.00	$600.00	$900.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $750.00	Professional		$600.00	$600.00	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $720.00 / $1,350.00	Professional		$390.00	$720.00	$1,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.55 / $643.50 / $2,010.00	Facility		$407.55	$643.50	$2,010.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.58 / $567.03 / $911.48	Professional		$274.58	$567.03	$911.48
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $360.00	Professional		$252.00	$252.00	$360.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $600.00 / $810.00	Professional		$234.00	$600.00	$810.00