Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $960.00 / $2,946.00	Facility		$360.00	$960.00	$2,946.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $432.00 / $720.00	Professional		$336.00	$432.00	$720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $1,464.00 / $3,078.00	Facility		$744.00	$1,464.00	$3,078.00
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 / $540.00 / $840.00	Professional		$420.00	$540.00	$840.00
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 $960.00 / $2,850.00 / $2,850.00	Facility		$960.00	$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 $276.39 / $567.03 / $911.48	Professional		$276.39	$567.03	$911.48
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $600.00 / $720.00	Facility		$252.00	$600.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $369.60	Professional		$252.00	$252.00	$369.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $600.00 / $810.00	Professional		$234.00	$600.00	$810.00