Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.86 / $556.97 / $1,481.74	Facility		$217.86	$556.97	$1,481.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $218.29 / $390.96	Professional		$162.90	$218.29	$390.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.95 / $838.26 / $1,684.39	Facility		$274.95	$838.26	$1,684.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $172.67 / $312.77	Professional		$5.00	$172.67	$312.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $309.51 / $504.99 / $842.21	Facility		$309.51	$504.99	$842.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $474.65 / $474.65	Facility		$325.80	$474.65	$474.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $583.05 / $1,386.72	Facility		$113.37	$583.05	$1,386.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $172.67 / $494.55	Professional		$79.43	$172.67	$494.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $528.49 / $1,547.55 / $1,547.55	Facility		$528.49	$1,547.55	$1,547.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.06 / $325.80 / $358.38	Facility		$228.06	$325.80	$358.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $325.80 / $325.80	Professional		$276.93	$325.80	$325.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $649.54 / $649.54	Facility		$282.95	$649.54	$649.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $325.80 / $686.07	Facility		$182.45	$325.80	$686.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.23 / $325.80	Professional		$79.43	$165.23	$325.80
United Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $189.86 / $390.96	Facility		$66.59	$189.86	$390.96
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $136.84 / $195.48	Professional		$66.45	$136.84	$195.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $130.32 / $325.80	Professional		$127.06	$130.32	$325.80