Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.10 / $1,457.56 / $3,904.46	Facility		$929.10	$1,457.56	$3,904.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,214.63 / $1,336.09	Professional		$1,002.40	$1,214.63	$1,336.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.82 / $2,366.03 / $4,674.10	Facility		$934.82	$2,366.03	$4,674.10
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 $3,643.89 / $3,643.89 / $3,643.89	Facility		$3,643.89	$3,643.89	$3,643.89
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 $2,186.34 / $2,915.12 / $5,203.28	Facility		$2,186.34	$2,915.12	$5,203.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $1,457.56	Facility		$1,214.63	$1,238.93	$1,457.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.22 / $1,214.63 / $1,457.56	Professional		$1,026.22	$1,214.63	$1,457.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $124.59	Facility		$95.88	$95.88	$124.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $1,457.56	Facility		$1,214.63	$1,238.93	$1,457.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,183.16 / $1,238.93 / $1,238.93	Professional		$1,183.16	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,214.63	Professional		$485.85	$1,214.63	$1,214.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,158.59 / $1,214.63 / $1,639.75	Professional		$1,158.59	$1,214.63	$1,639.75