Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.20 / $285.20 / $326.33	Facility		$285.20	$285.20	$326.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.56 / $285.20 / $307.31	Professional		$217.56	$285.20	$307.31
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 $948.62 / $948.62 / $1,413.00	Professional		$948.62	$948.62	$1,413.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $335.00 / $466.29 / $768.96	Facility		$335.00	$466.29	$768.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $486.00 / $768.96	Professional		$335.00	$486.00	$768.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $320.95 / $531.79	Facility		$320.95	$320.95	$531.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $415.00 / $650.00	Facility		$200.00	$415.00	$650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $375.00 / $555.00	Professional		$237.28	$375.00	$555.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,607.27 / $2,916.93 / $2,916.93	Facility		$2,607.27	$2,916.93	$2,916.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.56 / $600.79 / $2,646.00	Facility		$217.56	$600.79	$2,646.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.03 / $968.00 / $1,500.75	Professional		$448.03	$968.00	$1,500.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $574.10 / $574.10 / $616.14	Facility		$574.10	$574.10	$616.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.56 / $415.00 / $600.79	Facility		$217.56	$415.00	$600.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $415.00 / $555.00	Professional		$237.28	$415.00	$555.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.19 / $449.58 / $636.61	Professional		$337.19	$449.58	$636.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $272.44 / $272.44	Professional		$272.44	$272.44	$272.44