Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $663.69 / $1,062.33	Facility		$165.73	$663.69	$1,062.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $165.73 / $305.27	Professional		$130.84	$165.73	$305.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.13 / $695.61 / $1,275.65	Facility		$255.13	$695.61	$1,275.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $78.45 / $199.68	Professional		$5.00	$78.45	$199.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $244.54 / $980.87	Facility		$152.63	$244.54	$980.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $196.25 / $305.27	Professional		$152.63	$196.25	$305.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $213.70 / $218.06	Facility		$213.70	$213.70	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $500.48 / $1,078.86	Facility		$192.28	$500.48	$1,078.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $164.10 / $440.88	Professional		$120.93	$164.10	$440.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.90 / $1,035.79 / $1,035.79	Facility		$348.90	$1,035.79	$1,035.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.64 / $1,126.45 / $1,635.45	Professional		$1,093.64	$1,126.45	$1,635.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $228.92 / $371.38	Facility		$137.38	$228.92	$371.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.02 / $218.06 / $272.58	Professional		$176.02	$218.06	$272.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $272.57 / $490.63	Professional		$239.87	$272.57	$490.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.36 / $282.85 / $921.82	Facility		$161.36	$282.85	$921.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $206.51 / $415.00	Professional		$123.59	$206.51	$415.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $122.30 / $168.50	Professional		$91.59	$122.30	$168.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $112.96 / $218.06	Professional		$105.40	$112.96	$218.06