Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $158.96 / $897.32	Facility		$69.88	$158.96	$897.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $90.88 / $161.01	Professional		$71.56	$90.88	$161.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $287.97 / $478.58	Facility		$112.08	$287.97	$478.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $75.39 / $128.76	Professional		$36.60	$75.39	$128.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $107.73 / $186.10 / $399.64	Facility		$107.73	$186.10	$399.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $114.25 / $153.00	Professional		$99.35	$114.25	$153.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $99.03 / $105.18	Facility		$99.03	$99.03	$105.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $287.48 / $406.33	Facility		$103.85	$287.48	$406.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $106.00 / $197.49	Professional		$77.43	$106.00	$197.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $780.88 / $980.48 / $1,012.16	Facility		$780.88	$980.48	$1,012.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $689.38 / $689.38 / $897.98	Professional		$689.38	$689.38	$897.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.72 / $108.12 / $198.35	Facility		$80.72	$108.12	$198.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $171.32 / $297.70	Professional		$121.79	$171.32	$297.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $150.19 / $275.61	Professional		$58.93	$150.19	$275.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $110.44 / $248.73	Facility		$82.84	$110.44	$248.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $120.10 / $272.41	Professional		$80.56	$120.10	$272.41
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $166.72 / $250.18	Facility		$108.97	$166.72	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $101.42 / $164.29	Professional		$81.00	$101.42	$164.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $99.35 / $140.94	Professional		$88.62	$99.35	$140.94