Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,071.52 / $3,467.37	Facility		$407.38	$1,071.52	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $512.86 / $812.83	Professional		$213.80	$512.86	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $891.25 / $1,479.11	Facility		$338.84	$891.25	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $371.54 / $478.63	Professional		$5.01	$371.54	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $954.99	Professional		$478.63	$602.56	$954.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $616.60 / $3,019.95	Facility		$190.55	$616.60	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $1,230.27	Professional		$309.03	$691.83	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,128.61	Professional		$3,388.44	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $3,019.95	Facility		$416.87	$691.83	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $501.19 / $812.83	Professional		$6.03	$501.19	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $676.08	Professional		$562.34	$562.34	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,445.44	Professional		$676.08	$724.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $676.08 / $1,862.09	Facility		$281.84	$676.08	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $691.83 / $1,148.15	Professional		$295.12	$691.83	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $676.08	Facility		$245.47	$281.84	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $281.84	Professional		$117.49	$117.49	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $676.08 / $676.08	Professional		$109.65	$676.08	$676.08