Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $416.87 / $891.25	Facility		$72.44	$416.87	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $162.18	Professional		$74.13	$100.00	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $309.03 / $489.78	Facility		$128.82	$309.03	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $120.23	Professional		$33.11	$81.28	$120.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $436.52	Facility		$112.20	$186.21	$436.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $186.21	Professional		$85.11	$125.89	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $398.11	Facility		$93.33	$269.15	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $204.17	Professional		$77.62	$109.65	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $891.25	Professional		$691.83	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $234.42	Facility		$85.11	$125.89	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $223.87	Professional		$79.43	$112.20	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $288.40	Professional		$77.62	$218.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $251.19	Facility		$85.11	$125.89	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $239.88	Professional		$77.62	$109.65	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $165.96 / $218.78	Facility		$85.11	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $162.18	Professional		$79.43	$100.00	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $125.89	Professional		$100.00	$104.71	$125.89