Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.45 / $310.45 / $310.45	Facility		$310.45	$310.45	$310.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $271.33 / $292.36	Professional		$206.97	$271.33	$292.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $599.14 / $638.00	Professional		$510.00	$599.14	$638.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $335.00 / $485.66	Professional		$256.08	$335.00	$485.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $335.87	Facility		$118.61	$118.61	$335.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $260.00 / $500.00	Facility		$200.00	$260.00	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $260.00 / $500.00	Professional		$210.00	$260.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,646.70 / $1,842.24 / $1,842.24	Facility		$1,646.70	$1,842.24	$1,842.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $292.36 / $475.65	Facility		$206.97	$292.36	$475.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.08 / $1,103.08 / $1,174.42	Professional		$1,103.08	$1,103.08	$1,174.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $494.49 / $494.49 / $494.49	Facility		$494.49	$494.49	$494.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $292.36 / $475.65	Facility		$206.97	$292.36	$475.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $260.00 / $500.00	Professional		$210.00	$260.00	$500.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $283.94 / $384.92	Professional		$212.96	$283.94	$384.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $272.44 / $272.44	Professional		$272.44	$272.44	$272.44