Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $239.88	Facility		$41.69	$50.12	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $363.08	Professional		$32.36	$50.12	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $199.53	Professional		$123.03	$165.96	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $346.74	Professional		$151.36	$218.78	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $79.43	Facility		$20.42	$39.81	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $302.00	Professional		$144.54	$208.93	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,905.46 / $1,905.46	Professional		$891.25	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,398.83 / $5,370.32	Facility		$43.65	$2,398.83	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $234.42 / $407.38	Professional		$39.81	$234.42	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $223.87 / $537.03	Professional		$54.95	$223.87	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $25.70 / $54.95	Professional		$5.62	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,630.27 / $5,888.44	Facility		$41.69	$2,630.27	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $295.12	Professional		$144.54	$208.93	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11