Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $647.10 / $1,863.01	Facility		$315.08	$647.10	$1,863.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.40 / $311.58 / $583.49	Professional		$233.40	$311.58	$583.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $1,300.34 / $2,315.46	Facility		$514.54	$1,300.34	$2,315.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $229.23 / $583.49	Professional		$5.00	$229.23	$583.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $397.88 / $604.33 / $937.76	Facility		$397.88	$604.33	$937.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $408.44 / $416.78	Facility		$408.44	$408.44	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.86 / $978.17 / $2,106.15	Facility		$510.86	$978.17	$2,106.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.15 / $306.24 / $855.81	Professional		$236.15	$306.24	$855.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.90 / $2,083.90 / $3,125.85	Professional		$2,083.90	$2,083.90	$3,125.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $416.78 / $709.80	Facility		$250.07	$416.78	$709.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.71 / $416.78 / $520.98	Professional		$393.71	$416.78	$520.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $504.30 / $937.75	Professional		$270.91	$504.30	$937.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $556.39 / $1,800.71	Facility		$291.75	$556.39	$1,800.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $393.71 / $808.03	Professional		$241.27	$393.71	$808.03
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $240.12 / $343.03	Professional		$175.05	$240.12	$343.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $416.78	Professional		$205.82	$205.82	$416.78