Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.21 / $949.55 / $2,479.00	Facility		$356.21	$949.55	$2,479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.97 / $386.74 / $610.64	Professional		$284.97	$386.74	$610.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.76 / $1,460.46 / $2,737.72	Facility		$559.76	$1,460.46	$2,737.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $279.88 / $488.52	Professional		$5.00	$279.88	$488.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $356.21 / $457.98 / $612.90	Professional		$356.21	$457.98	$612.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $549.58 / $549.58	Facility		$508.87	$549.58	$549.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.73 / $1,163.54 / $2,267.80	Facility		$343.73	$1,163.54	$2,267.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.74 / $322.95 / $799.32	Professional		$231.74	$322.95	$799.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $814.19 / $2,417.13 / $2,417.13	Facility		$814.19	$2,417.13	$2,417.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,544.35 / $2,544.35 / $3,816.53	Professional		$2,544.35	$2,544.35	$3,816.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.41 / $508.87 / $763.31	Facility		$310.41	$508.87	$763.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $480.83 / $508.87 / $636.09	Professional		$480.83	$508.87	$636.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $610.64 / $1,144.96	Professional		$330.77	$610.64	$1,144.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.21 / $585.20 / $1,971.39	Facility		$356.21	$585.20	$1,971.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $457.98 / $785.20	Professional		$232.80	$457.98	$785.20
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $213.73 / $325.68	Professional		$213.73	$213.73	$325.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $263.58 / $508.87	Professional		$203.55	$263.58	$508.87