Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.57 / $759.56 / $2,081.19	Facility		$297.57	$759.56	$2,081.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.19 / $297.57 / $515.67	Professional		$225.19	$297.57	$515.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.21 / $1,282.76 / $2,215.67	Facility		$494.21	$1,282.76	$2,215.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $221.17 / $562.97	Professional		$5.00	$221.17	$562.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $583.07 / $723.82	Facility		$402.12	$583.07	$723.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $1,076.34 / $1,076.34	Facility		$402.12	$1,076.34	$1,076.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.45 / $935.15 / $2,032.11	Facility		$363.45	$935.15	$2,032.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $382.13 / $795.00	Professional		$206.89	$382.13	$795.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $869.73 / $1,910.07 / $1,910.07	Facility		$869.73	$1,910.07	$1,910.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.60 / $2,010.60 / $3,015.90	Professional		$2,010.60	$2,010.60	$3,015.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.34 / $402.12 / $684.82	Facility		$253.34	$402.12	$684.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $402.12 / $502.65	Professional		$382.01	$402.12	$502.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.38 / $482.54 / $904.77	Professional		$261.38	$482.54	$904.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.57 / $494.52 / $1,737.92	Facility		$297.57	$494.52	$1,737.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $462.44 / $731.09	Professional		$206.89	$462.44	$731.09
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $230.41 / $297.87	Professional		$168.89	$230.41	$297.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.83 / $402.12 / $542.86	Professional		$156.83	$402.12	$542.86