Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $512.86 / $1,621.81	Facility		$213.80	$512.86	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $380.19	Professional		$213.80	$269.15	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $114.82 / $194.98	Facility		$43.65	$114.82	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $363.08	Professional		$251.19	$323.59	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $512.86 / $1,584.89	Facility		$229.09	$512.86	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $524.81	Professional		$436.52	$436.52	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $2,691.53	Professional		$1,778.28	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $660.69	Facility		$269.15	$354.81	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $446.68	Professional		$213.80	$281.84	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $758.58	Professional		$354.81	$389.05	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $977.24	Facility		$251.19	$354.81	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $616.60	Professional		$323.59	$371.54	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $147.91 / $354.81	Facility		$128.82	$147.91	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $245.47	Professional		$147.91	$147.91	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $354.81	Professional		$190.55	$354.81	$354.81