Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.65 / $582.66 / $1,472.42	Facility		$239.65	$582.66	$1,472.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $213.68 / $351.85	Professional		$161.88	$213.68	$351.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $867.41 / $1,673.79	Facility		$323.75	$867.41	$1,673.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $171.59 / $310.80	Professional		$5.00	$171.59	$310.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $307.56 / $534.19 / $889.21	Facility		$307.56	$534.19	$889.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $521.40 / $521.40	Facility		$323.75	$521.40	$521.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $589.59 / $1,378.07	Facility		$124.72	$589.59	$1,378.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $171.59 / $491.27	Professional		$87.44	$171.59	$491.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $525.16 / $1,537.81 / $1,537.81	Facility		$525.16	$1,537.81	$1,537.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $323.75 / $356.13	Facility		$233.10	$323.75	$356.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $323.75 / $323.75	Professional		$275.19	$323.75	$323.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $706.30 / $951.96 / $1,909.00	Facility		$706.30	$951.96	$1,909.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.88 / $323.75 / $707.08	Facility		$185.88	$323.75	$707.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $165.10 / $323.75	Professional		$87.44	$165.10	$323.75
United Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $135.97 / $323.75	Facility		$116.55	$135.97	$323.75
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $135.97 / $194.25	Professional		$72.70	$135.97	$194.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $129.50 / $323.75	Professional		$126.26	$129.50	$323.75