Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $392.44 / $784.25	Facility		$95.82	$392.44	$784.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $98.65 / $253.89	Professional		$78.70	$98.65	$253.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $173.19 / $340.79	Facility		$86.99	$173.19	$340.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $84.49 / $119.46	Professional		$28.64	$84.49	$119.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $162.88 / $397.61	Facility		$88.55	$162.88	$397.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $144.88 / $236.00	Professional		$115.00	$144.88	$236.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $124.15 / $126.65	Facility		$80.66	$124.15	$126.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $345.34 / $549.04	Facility		$86.97	$345.34	$549.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $141.08 / $267.27	Professional		$105.44	$141.08	$267.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $669.70 / $669.70	Facility		$268.00	$669.70	$669.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $740.76 / $740.76 / $1,055.40	Professional		$740.76	$740.76	$1,055.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $138.24 / $234.38	Facility		$96.62	$138.24	$234.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $169.47 / $290.80	Professional		$60.00	$169.47	$290.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $176.07 / $324.89	Professional		$58.45	$176.07	$324.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $140.44 / $316.73	Facility		$93.83	$140.44	$316.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $144.97 / $300.14	Professional		$108.89	$144.97	$300.14
United Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $123.78 / $185.87	Facility		$78.65	$123.78	$185.87
United Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $146.16 / $221.81	Professional		$113.86	$146.16	$221.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $116.53 / $165.56	Professional		$104.08	$116.53	$165.56