Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $1,749.07 / $3,498.14	Facility		$759.00	$1,749.07	$3,498.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,457.56 / $1,821.95	Professional		$1,214.63	$1,457.56	$1,821.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.97 / $2,300.60 / $4,544.85	Facility		$908.97	$2,300.60	$4,544.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.07 / $1,251.07 / $1,251.07	Professional		$1,251.07	$1,251.07	$1,251.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4,169.85 / $4,169.85 / $4,169.85	Facility		$4,169.85	$4,169.85	$4,169.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,384.68 / $2,915.12 / $5,205.56	Facility		$1,384.68	$2,915.12	$5,205.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.56 / $1,457.56 / $2,084.31	Facility		$1,457.56	$1,457.56	$2,084.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.17 / $1,093.17 / $1,093.17	Professional		$1,093.17	$1,093.17	$1,093.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $146.94 / $191.00	Facility		$146.94	$146.94	$191.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.79 / $1,238.93 / $2,084.31	Facility		$1,156.79	$1,238.93	$2,084.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,639.75	Professional		$1,214.63	$1,214.63	$1,639.75