Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.56 / $1,352.62 / $3,606.98	Facility		$508.56	$1,352.62	$3,606.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.27 / $531.34 / $910.86	Professional		$437.27	$531.34	$910.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.76 / $1,366.29 / $3,772.48	Facility		$986.76	$1,366.29	$3,772.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.30 / $1,062.67	Professional		$5.00	$402.30	$1,062.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $724.77 / $1,062.67	Professional		$531.34	$724.77	$1,062.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Facility		$759.05	$759.05	$759.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.52 / $1,657.76 / $3,382.05	Facility		$530.52	$1,657.76	$3,382.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.43 / $450.81 / $1,163.00	Professional		$354.43	$450.81	$1,163.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.64 / $3,605.49 / $3,605.49	Facility		$1,431.64	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $910.86	Facility		$455.43	$759.05	$910.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $774.23	Professional		$759.05	$759.05	$774.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $910.86 / $1,707.86	Professional		$493.38	$910.86	$1,707.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $1,657.76	Facility		$455.43	$759.05	$1,657.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.34 / $609.16 / $1,152.14	Professional		$364.34	$609.16	$1,152.14
United Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $759.05 / $910.86	Facility		$336.98	$759.05	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $336.98 / $521.85	Professional		$318.80	$336.98	$521.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $303.62 / $759.05	Professional		$296.02	$303.62	$759.05