Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $416.87 / $776.25	Facility		$89.13	$416.87	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $338.84	Professional		$77.62	$114.82	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $190.55 / $338.84	Facility		$87.10	$190.55	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $95.50 / $125.89	Professional		$27.54	$95.50	$125.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $436.52	Facility		$93.33	$158.49	$436.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $165.96	Professional		$114.82	$134.90	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Facility		$81.28	$81.28	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $354.81 / $562.34	Facility		$95.50	$354.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $275.42	Professional		$107.15	$144.54	$275.42
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 $741.31 / $1,047.13 / $1,047.13	Professional		$741.31	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $316.23	Facility		$97.72	$147.91	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $323.59	Professional		$87.10	$151.36	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $354.81	Professional		$120.23	$234.42	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $288.40	Facility		$97.72	$151.36	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $288.40	Professional		$107.15	$141.25	$288.40
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 $117.49 / $144.54 / $223.87	Professional		$117.49	$144.54	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $147.91	Professional		$117.49	$123.03	$147.91