Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.51 / $439.56 / $714.89	Facility		$87.51	$439.56	$714.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $94.75 / $160.49	Professional		$60.53	$94.75	$160.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $294.63 / $559.79	Facility		$117.85	$294.63	$559.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $76.13 / $89.56	Professional		$33.69	$76.13	$89.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $210.22 / $280.14 / $919.36	Facility		$210.22	$280.14	$919.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $119.74 / $215.53	Professional		$112.35	$119.74	$215.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $37.39	Facility		$36.15	$36.15	$37.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.82 / $244.47 / $516.22	Facility		$107.82	$244.47	$516.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $109.51 / $186.12	Professional		$64.22	$109.51	$186.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.27 / $575.27 / $683.34	Facility		$250.27	$575.27	$683.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.52 / $810.52 / $1,066.50	Professional		$810.52	$810.52	$1,066.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $137.97 / $331.80	Facility		$88.76	$137.97	$331.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $117.02 / $477.75	Professional		$40.35	$117.02	$477.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $321.60 / $434.89 / $3,704.61	Facility		$321.60	$434.89	$3,704.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $55.32 / $107.26	Professional		$37.07	$55.32	$107.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $159.22 / $444.61	Facility		$93.24	$159.22	$444.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $110.09 / $189.68	Professional		$60.04	$110.09	$189.68
United Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $88.67 / $154.76	Professional		$60.82	$88.67	$154.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $96.76 / $130.63	Professional		$96.76	$96.76	$130.63