Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $251.19	Professional		$81.28	$131.83	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $588.84	Facility		$83.18	$134.90	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $204.17	Professional		$89.13	$138.04	$204.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $208.93	Professional		$74.13	$104.71	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $141.25	Facility		$79.43	$79.43	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $245.47	Professional		$100.00	$154.88	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,258.93	Professional		$1,096.48	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $2,951.21	Facility		$87.10	$158.49	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $269.15	Professional		$83.18	$141.25	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $309.03	Professional		$85.11	$162.18	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $213.80	Facility		$83.18	$131.83	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $245.47	Professional		$102.33	$158.49	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $190.55	Professional		$83.18	$125.89	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25