Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.14 / $766.72 / $2,388.01	Facility		$330.14	$766.72	$2,388.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $650.99 / $703.07	Professional		$635.11	$650.99	$703.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $1,184.31 / $2,363.00	Facility		$467.92	$1,184.31	$2,363.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.87 / $666.87 / $666.87	Professional		$666.87	$666.87	$666.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $658.23 / $703.99 / $973.44	Facility		$658.23	$703.99	$973.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $754.20 / $2,485.00 / $2,977.09	Facility		$754.20	$2,485.00	$2,977.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,016.78 / $3,016.78 / $3,572.51	Professional		$3,016.78	$3,016.78	$3,572.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $650.99 / $793.89 / $1,802.70	Facility		$650.99	$793.89	$1,802.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.76 / $697.73 / $732.62	Professional		$466.76	$697.73	$732.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.93 / $793.89 / $1,078.51	Facility		$658.93	$793.89	$1,078.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $661.57	Professional		$661.57	$661.57	$661.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $754.20 / $1,018.17	Professional		$661.57	$754.20	$1,018.17