Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.25 / $644.83 / $1,883.36	Facility		$261.25	$644.83	$1,883.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $255.72 / $443.15	Professional		$193.52	$255.72	$443.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.71 / $1,119.65 / $2,069.96	Facility		$424.71	$1,119.65	$2,069.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $190.06 / $483.80	Professional		$5.00	$190.06	$483.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $518.36 / $807.45	Facility		$345.57	$518.36	$807.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $345.57 / $345.57	Facility		$80.00	$345.57	$345.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.33 / $803.62 / $1,746.53	Facility		$312.33	$803.62	$1,746.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $328.37 / $684.00	Professional		$177.87	$328.37	$684.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $846.65 / $1,641.46 / $1,641.46	Facility		$846.65	$1,641.46	$1,641.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,727.85 / $1,727.85 / $2,591.78	Professional		$1,727.85	$1,727.85	$2,591.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $345.57 / $588.51	Facility		$217.71	$345.57	$588.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.29 / $345.57 / $431.96	Professional		$328.29	$345.57	$431.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $414.68 / $777.53	Professional		$224.62	$414.68	$777.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.72 / $424.98 / $1,494.11	Facility		$255.72	$424.98	$1,494.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $397.41 / $628.54	Professional		$184.30	$397.41	$628.54
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $198.00 / $282.44	Professional		$145.13	$198.00	$282.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $345.57 / $466.52	Professional		$134.77	$345.57	$466.52