Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $1,390.83 / $10,679.38	Facility		$138.74	$1,390.83	$10,679.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.61	Professional		$138.74	$138.74	$152.61
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 $182.60 / $182.60 / $182.60	Professional		$182.60	$182.60	$182.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $127.63 / $156.61 / $1,269.38	Facility		$127.63	$156.61	$1,269.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $136.18 / $138.75	Professional		$136.18	$136.18	$138.75
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 $130.88 / $138.74 / $138.74	Facility		$130.88	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.24 / $612.61 / $612.61	Facility		$240.24	$612.61	$612.61
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 $136.18 / $138.74 / $294.76	Facility		$136.18	$138.74	$294.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $173.43	Professional		$138.74	$138.74	$173.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $225.98 / $302.94	Professional		$149.84	$225.98	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $294.20	Facility		$138.74	$138.74	$294.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $169.99	Professional		$138.74	$138.74	$169.99
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $139.29	Professional		$138.74	$138.74	$139.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $138.74 / $187.30	Professional		$136.18	$138.74	$187.30