Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $398.29 / $626.64	Facility		$258.64	$398.29	$626.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $261.10 / $326.38	Professional		$258.64	$261.10	$326.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.61 / $398.75 / $786.47	Facility		$157.61	$398.75	$786.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.56 / $241.56 / $241.56	Professional		$241.56	$241.56	$241.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $180.94 / $243.38 / $22,146.29	Facility		$180.94	$243.38	$22,146.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,479.68 / $7,479.68 / $7,479.68	Facility		$7,479.68	$7,479.68	$7,479.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $258.64 / $258.64	Facility		$244.00	$258.64	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.12 / $1,244.65 / $1,293.20	Facility		$331.12	$1,244.65	$1,293.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,942.60 / $6,942.60 / $6,942.60	Professional		$6,942.60	$6,942.60	$6,942.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $258.64 / $370.76	Facility		$230.79	$258.64	$370.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $263.81 / $426.76	Professional		$258.64	$263.81	$426.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $289.93 / $442.20	Professional		$182.10	$289.93	$442.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $258.64 / $373.56	Facility		$230.79	$258.64	$373.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $304.22	Professional		$258.64	$258.64	$304.22
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $287.92	Professional		$258.64	$274.16	$287.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $258.64 / $362.10	Professional		$248.93	$258.64	$362.10