Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $107.77	Facility		$106.70	$106.70	$107.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $116.30	Professional		$106.70	$106.70	$116.30
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 $214.56 / $214.56 / $214.56	Professional		$214.56	$214.56	$214.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $102.56 / $747.05	Facility		$89.18	$102.56	$747.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $106.70 / $106.70	Facility		$100.66	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $604.19 / $604.19	Facility		$479.40	$604.19	$604.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.75 / $1,448.75 / $1,448.75	Professional		$1,448.75	$1,448.75	$1,448.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $106.70 / $278.63	Facility		$89.18	$106.70	$278.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $133.38	Professional		$106.70	$106.70	$133.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $205.54 / $307.91	Professional		$115.24	$205.54	$307.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $278.10	Facility		$106.70	$106.70	$278.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $150.99	Professional		$106.70	$106.70	$150.99
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $144.05	Professional		$106.70	$106.70	$144.05