Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.55 / $715.30 / $729.06	Facility		$701.55	$715.30	$729.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.58 / $729.06 / $1,033.04	Professional		$605.58	$729.06	$1,033.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.63 / $747.63 / $935.39	Professional		$747.63	$747.63	$935.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $1,178.21 / $1,570.95	Professional		$650.00	$1,178.21	$1,570.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,570.95 / $1,570.95 / $1,570.95	Facility		$1,570.95	$1,570.95	$1,570.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $736.22	Professional		$537.44	$537.44	$736.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,152.76 / $6,310.18 / $7,462.01	Facility		$3,152.76	$6,310.18	$7,462.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,966.95 / $10,206.18 / $10,901.40	Professional		$9,966.95	$10,206.18	$10,901.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $379.47 / $1,049.67 / $1,570.95	Facility		$379.47	$1,049.67	$1,570.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $1,328.47 / $1,570.95	Professional		$379.47	$1,328.47	$1,570.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.13 / $1,602.37 / $3,605.33	Professional		$1,442.13	$1,602.37	$3,605.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.47 / $1,049.67 / $1,570.95	Facility		$379.47	$1,049.67	$1,570.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $784.84	Professional		$537.44	$537.44	$784.84
United Facility/Professional Professional Modifier Low / Median / High Price $486.99 / $708.35 / $843.27	Professional		$486.99	$708.35	$843.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.87 / $713.17 / $1,570.95	Professional		$705.87	$713.17	$1,570.95