Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $551.92 / $1,405.58	Facility		$218.88	$551.92	$1,405.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.64 / $206.54 / $354.95	Professional		$165.64	$206.54	$354.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $719.95 / $1,517.40	Facility		$360.86	$719.95	$1,517.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $162.68 / $414.11	Professional		$5.00	$162.68	$414.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $204.71 / $428.90 / $547.21	Facility		$204.71	$428.90	$547.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $292.83 / $295.79	Facility		$292.83	$292.83	$295.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $676.28 / $1,318.08	Facility		$206.15	$676.28	$1,318.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $166.53 / $464.63	Professional		$134.66	$166.53	$464.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.69 / $1,405.00 / $1,405.00	Facility		$724.69	$1,405.00	$1,405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,478.95 / $2,218.42	Professional		$1,478.95	$1,478.95	$2,218.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.35 / $295.79 / $473.26	Facility		$186.35	$295.79	$473.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $295.79 / $443.69	Professional		$279.39	$295.79	$443.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $354.95 / $665.53	Professional		$192.26	$354.95	$665.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.05 / $340.16 / $1,145.48	Facility		$207.05	$340.16	$1,145.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $266.20 / $451.64	Professional		$136.94	$266.20	$451.64
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $182.21	Professional		$124.23	$124.23	$182.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $295.79 / $399.32	Professional		$115.36	$295.79	$399.32