Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.53 / $247.53 / $283.23	Facility		$247.53	$247.53	$283.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $247.54 / $266.72	Professional		$188.82	$247.54	$266.72
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 $798.84 / $952.00 / $1,190.00	Professional		$798.84	$952.00	$1,190.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $341.44 / $446.80 / $733.00	Facility		$341.44	$446.80	$733.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $249.59 / $392.66 / $647.54	Professional		$249.59	$392.66	$647.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $343.84 / $343.84 / $447.82	Facility		$343.84	$343.84	$447.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $328.00 / $547.00	Facility		$125.00	$328.00	$547.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.93 / $385.00 / $550.00	Professional		$205.93	$385.00	$550.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,195.58 / $2,456.32 / $2,456.32	Facility		$2,195.58	$2,456.32	$2,456.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.82 / $513.40 / $1,983.00	Facility		$188.82	$513.40	$1,983.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $500.50 / $1,212.75 / $1,521.36	Professional		$500.50	$1,212.75	$1,521.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $571.77 / $571.77 / $607.17	Facility		$571.77	$571.77	$607.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.82 / $328.00 / $513.40	Facility		$188.82	$328.00	$513.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.93 / $385.00 / $550.00	Professional		$205.93	$385.00	$550.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.94 / $378.59 / $536.08	Professional		$283.94	$378.59	$536.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $272.44 / $272.44	Professional		$272.44	$272.44	$272.44