Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $222.97 / $3,984.81	Facility		$108.47	$222.97	$3,984.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.55 / $136.66	Professional		$108.47	$109.55	$136.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.89 / $847.61 / $1,691.19	Facility		$334.89	$847.61	$1,691.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $113.24 / $113.24	Professional		$113.24	$113.24	$113.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $153.66 / $159.43 / $2,005.39	Facility		$153.66	$159.43	$2,005.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.95 / $309.95 / $309.95	Facility		$309.95	$309.95	$309.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $108.47 / $217.68	Facility		$102.33	$108.47	$217.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $1,578.65 / $1,578.65	Facility		$581.41	$1,578.65	$1,578.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.40 / $1,698.40 / $1,698.40	Professional		$1,698.40	$1,698.40	$1,698.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $109.28 / $473.60	Facility		$108.47	$109.28	$473.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $110.64 / $200.52	Professional		$108.47	$110.64	$200.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $119.31 / $249.13	Professional		$104.01	$119.31	$249.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $378.88	Facility		$108.47	$108.47	$378.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $181.06	Professional		$108.47	$108.47	$181.06
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $120.75	Professional		$108.47	$114.98	$120.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $120.21 / $151.86	Professional		$108.47	$120.21	$151.86