Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.19 / $860.19 / $860.19	Facility		$860.19	$860.19	$860.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $573.46 / $1,786.13	Professional		$573.46	$573.46	$1,786.13
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 $1,168.00 / $1,373.00 / $1,461.00	Professional		$1,168.00	$1,373.00	$1,461.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $586.86 / $705.00 / $1,435.00	Facility		$586.86	$705.00	$1,435.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $705.00 / $1,435.00	Professional		$450.00	$705.00	$1,435.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $464.55 / $464.55 / $769.69	Facility		$464.55	$464.55	$769.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $600.00 / $941.00	Facility		$300.00	$600.00	$941.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $500.00 / $740.00	Professional		$325.00	$500.00	$740.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,773.67 / $4,221.85 / $4,221.85	Facility		$3,773.67	$4,221.85	$4,221.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $573.46 / $3,012.00	Facility		$573.46	$573.46	$3,012.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,838.85	Professional		$1,620.00	$1,620.00	$1,838.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $834.22 / $834.22 / $834.22	Facility		$834.22	$834.22	$834.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $600.00 / $825.00	Facility		$300.00	$600.00	$825.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $550.00 / $740.00	Professional		$325.00	$550.00	$740.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.03 / $650.70 / $921.39	Professional		$488.03	$650.70	$921.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $272.44 / $272.44	Professional		$272.44	$272.44	$272.44