Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.08 / $1,472.82 / $3,994.78	Facility		$622.08	$1,472.82	$3,994.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $588.46 / $1,008.78	Professional		$470.76	$588.46	$1,008.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $2,278.16 / $4,396.60	Facility		$504.39	$2,278.16	$4,396.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $445.54 / $672.52	Professional		$5.00	$445.54	$672.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $802.75 / $892.35	Professional		$588.46	$802.75	$892.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $840.65 / $840.65	Facility		$840.65	$840.65	$840.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.80 / $1,828.15 / $3,721.30	Facility		$406.80	$1,828.15	$3,721.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.18 / $798.70 / $1,390.29	Professional		$426.18	$798.70	$1,390.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.04 / $3,993.09 / $3,993.09	Facility		$1,345.04	$3,993.09	$3,993.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,203.25 / $4,203.25 / $6,304.88	Professional		$4,203.25	$4,203.25	$6,304.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $840.65 / $1,008.78	Facility		$504.39	$840.65	$1,008.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $756.59 / $840.65 / $857.46	Professional		$756.59	$840.65	$857.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $1,008.78 / $1,891.46	Professional		$546.41	$1,008.78	$1,891.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $840.65 / $1,835.97	Facility		$504.39	$840.65	$1,835.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.67 / $798.70 / $1,390.29	Professional		$428.67	$798.70	$1,390.29
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $353.07 / $504.39	Professional		$248.06	$353.07	$504.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $336.26 / $840.65	Professional		$327.85	$336.26	$840.65