Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $363.08	Facility		$41.69	$50.12	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $537.03	Professional		$32.36	$50.12	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $354.81	Professional		$208.93	$281.84	$354.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $524.81	Professional		$229.09	$331.13	$524.81
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 $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19
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 $1,348.96 / $2,884.03 / $2,884.03	Professional		$1,348.96	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $2,398.83 / $4,897.79	Facility		$42.66	$2,398.83	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $363.08 / $602.56	Professional		$40.74	$363.08	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $371.54 / $758.58	Professional		$91.20	$371.54	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $54.95	Professional		$9.33	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,570.40 / $5,888.44	Facility		$41.69	$2,570.40	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $478.63	Professional		$239.88	$346.74	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11