Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $166.41 / $466.40	Facility		$63.64	$166.41	$466.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $68.39 / $117.29	Professional		$53.19	$68.39	$117.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $52.24 / $132.99	Professional		$5.00	$52.24	$132.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $132.99 / $213.73	Professional		$66.48	$132.99	$213.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $94.99 / $94.99	Facility		$80.00	$94.99	$94.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.83 / $171.64 / $404.04	Facility		$36.83	$171.64	$404.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $90.14 / $149.28	Professional		$48.12	$90.14	$149.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $451.20 / $451.20	Facility		$230.13	$451.20	$451.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $474.95 / $474.95 / $712.43	Professional		$474.95	$474.95	$712.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $94.99 / $151.97	Facility		$59.84	$94.99	$151.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $94.99 / $118.74	Professional		$90.24	$94.99	$118.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $113.99 / $213.73	Professional		$61.74	$113.99	$213.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $109.24 / $310.64	Facility		$55.85	$109.24	$310.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $109.24 / $166.23	Professional		$48.41	$109.24	$166.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $58.51	Professional		$39.90	$39.90	$58.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $94.99 / $128.24	Professional		$37.04	$94.99	$128.24