Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $778.60 / $1,820.96	Facility		$308.42	$778.60	$1,820.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $309.42 / $635.24	Professional		$220.89	$309.42	$635.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.97 / $1,250.33 / $2,250.61	Facility		$495.97	$1,250.33	$2,250.61
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 $385.11 / $625.16 / $2,339.50	Facility		$385.11	$625.16	$2,339.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $566.82 / $676.40	Professional		$85.42	$566.82	$676.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $437.62 / $437.62	Facility		$416.78	$437.62	$437.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.08 / $969.25 / $2,106.15	Facility		$418.08	$969.25	$2,106.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.15 / $304.89 / $855.81	Professional		$236.15	$304.89	$855.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $894.54 / $1,979.71 / $1,979.71	Facility		$894.54	$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 $262.57 / $447.00 / $1,093.09	Facility		$262.57	$447.00	$1,093.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $416.78 / $625.16	Professional		$67.50	$416.78	$625.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.70 / $1,460.27 / $2,267.98	Facility		$1,019.70	$1,460.27	$2,267.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $458.46 / $937.75	Professional		$458.46	$458.46	$937.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $505.44 / $2,106.15	Facility		$308.42	$505.44	$2,106.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $393.71 / $804.48	Professional		$241.27	$393.71	$804.48
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $238.22 / $340.31	Professional		$175.05	$238.22	$340.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $215.89 / $416.78	Professional		$205.82	$215.89	$416.78