Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.84 / $836.13 / $1,063.76	Facility		$698.84	$836.13	$1,063.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.74 / $906.85 / $1,151.50	Professional		$761.74	$906.85	$1,151.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.09 / $1,335.43 / $2,466.90	Facility		$568.09	$1,335.43	$2,466.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $47.57 / $348.28	Professional		$47.57	$47.57	$348.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $510.29 / $858.99 / $2,142.94	Facility		$510.29	$858.99	$2,142.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.25 / $462.63 / $612.35	Facility		$442.25	$462.63	$612.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.70 / $1,144.83 / $1,799.99	Professional		$825.70	$1,144.83	$1,799.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.31 / $5,001.75 / $5,001.75	Facility		$2,001.31	$5,001.75	$5,001.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,795.70 / $5,795.70 / $8,068.43	Professional		$5,795.70	$5,795.70	$8,068.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.76 / $1,002.20 / $1,399.94	Facility		$808.76	$1,002.20	$1,399.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $898.80 / $898.80 / $1,076.88	Professional		$898.80	$898.80	$1,076.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $297.51 / $350.01 / $564.90	Professional		$297.51	$350.01	$564.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.78 / $975.51 / $1,453.79	Facility		$800.78	$975.51	$1,453.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.96 / $1,187.94 / $1,799.99	Professional		$890.96	$1,187.94	$1,799.99
United Facility/Professional Professional Modifier Low / Median / High Price $775.06 / $1,040.44 / $1,724.94	Professional		$775.06	$1,040.44	$1,724.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $401.16 / $1,076.88 / $1,453.79	Professional		$401.16	$1,076.88	$1,453.79