Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $229.09 / $478.63	Facility		$23.99	$229.09	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $61.66	Professional		$20.89	$30.20	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $331.13	Facility		$87.10	$204.17	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $22.91 / $33.88	Professional		$6.92	$22.91	$33.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $478.63	Facility		$87.10	$104.71	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $36.31	Professional		$26.30	$30.90	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $30.90	Facility		$19.50	$19.50	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $95.50 / $245.47	Facility		$35.48	$95.50	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $63.10	Professional		$23.44	$33.11	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $363.08	Facility		$288.40	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $263.03	Professional		$204.17	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $70.79	Facility		$25.70	$38.02	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $75.86	Professional		$21.88	$34.67	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $33.11	Professional		$23.44	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $87.10	Professional		$46.77	$58.88	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $81.28	Facility		$26.30	$38.90	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $69.18	Professional		$23.44	$33.11	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $181.97	Facility		$70.79	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $47.86	Professional		$24.55	$28.84	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $36.31	Professional		$29.51	$30.90	$36.31