Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $136.22 / $45,735.84	Facility		$134.88	$136.22	$45,735.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $157.77 / $3,359.00	Facility		$118.96	$157.77	$3,359.00
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 $127.25 / $134.88 / $134.88	Facility		$127.25	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $199.01 / $633.20	Facility		$179.42	$199.01	$633.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $633.20 / $633.20	Professional		$633.20	$633.20	$633.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $137.19 / $329.89	Facility		$136.22	$137.19	$329.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $168.61	Professional		$134.88	$134.88	$168.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $230.98 / $302.94	Professional		$148.10	$230.98	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $329.26	Facility		$134.88	$134.88	$329.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $167.99	Professional		$134.88	$134.88	$167.99
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $139.07	Professional		$134.88	$134.88	$139.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $137.19 / $182.10	Professional		$134.88	$137.19	$182.10