Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $223.87 / $707.95	Facility		$93.33	$223.87	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $173.78	Professional		$93.33	$120.23	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $112.20 / $194.98	Facility		$46.77	$112.20	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $354.81	Professional		$109.65	$213.80	$354.81
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 $102.33 / $151.36 / $691.83	Facility		$102.33	$151.36	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $229.09	Professional		$190.55	$190.55	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,174.90	Professional		$776.25	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $295.12	Facility		$104.71	$158.49	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $186.21	Professional		$93.33	$125.89	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $331.13	Professional		$158.49	$169.82	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $436.52	Facility		$93.33	$158.49	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $275.42	Professional		$79.43	$165.96	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $158.49	Facility		$56.23	$66.07	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $107.15	Professional		$66.07	$66.07	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $158.49 / $158.49	Professional		$7.94	$158.49	$158.49