Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.83 / $1,091.42 / $2,849.37	Facility		$432.83	$1,091.42	$2,849.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $444.52 / $845.65	Professional		$350.94	$444.52	$845.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $1,707.91 / $3,070.72	Facility		$23.57	$1,707.91	$3,070.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $310.00 / $441.86	Professional		$5.00	$310.00	$441.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $1,043.16 / $1,825.53	Professional		$581.88	$1,043.16	$1,825.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Facility		$584.90	$584.90	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.37 / $1,220.82 / $2,956.29	Facility		$469.37	$1,220.82	$2,956.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $555.66 / $1,663.43	Professional		$310.00	$555.66	$1,663.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.87 / $6,193.76 / $6,193.76	Facility		$2,268.87	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.43 / $1,303.95 / $1,434.35	Facility		$409.43	$1,303.95	$1,434.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,303.95 / $1,629.94	Professional		$1,173.56	$1,303.95	$1,629.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $1,434.35 / $2,933.89	Professional		$847.57	$1,434.35	$2,933.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.13 / $1,303.95 / $1,695.14	Facility		$421.13	$1,303.95	$1,695.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $672.64 / $1,155.00	Professional		$310.00	$672.64	$1,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $331.70 / $490.04	Professional		$245.66	$331.70	$490.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $288.83 / $1,303.95	Professional		$228.11	$288.83	$1,303.95