Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $353.11 / $1,435.40	Facility		$292.82	$353.11	$1,435.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $300.14 / $311.13	Professional		$292.82	$300.14	$311.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $618.83 / $1,222.50	Facility		$244.50	$618.83	$1,222.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $301.43 / $301.43	Professional		$301.43	$301.43	$301.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $51,599.40 / $51,599.40 / $55,186.53	Facility		$51,599.40	$51,599.40	$55,186.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Facility		$311.13	$311.13	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.91 / $1,532.18 / $1,563.45	Facility		$340.91	$1,532.18	$1,563.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.44 / $1,363.63 / $1,584.63	Professional		$1,274.44	$1,363.63	$1,584.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.14 / $358.85 / $735.78	Facility		$300.14	$358.85	$735.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $269.14 / $269.14	Professional		$269.14	$269.14	$269.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $490.12 / $602.99 / $646.82	Professional		$490.12	$602.99	$646.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $366.03 / $635.08	Facility		$303.80	$366.03	$635.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $417.98	Professional		$305.02	$305.02	$417.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $340.91 / $460.23	Professional		$293.45	$340.91	$460.23