Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.18 / $423.18 / $458.45	Facility		$423.18	$423.18	$458.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.65 / $400.14 / $536.03	Professional		$352.65	$400.14	$536.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,110.44 / $9,545.62 / $19,343.00	Facility		$6,110.44	$9,545.62	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $213.70 / $213.70	Professional		$181.64	$213.70	$213.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $2,600.00	Facility		$2,600.00	$2,600.00	$2,600.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.65 / $352.65 / $747.62	Facility		$352.65	$352.65	$747.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $480.20 / $480.20 / $480.20	Professional		$480.20	$480.20	$480.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.86 / $380.86 / $380.86	Facility		$380.86	$380.86	$380.86
United Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $276.74 / $276.74	Professional		$276.74	$276.74	$276.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $168.18 / $227.04	Professional		$168.18	$168.18	$227.04