Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $326.20 / $830.66	Facility		$122.37	$326.20	$830.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $122.37 / $209.77	Professional		$97.89	$122.37	$209.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.79 / $508.70 / $907.26	Facility		$188.79	$508.70	$907.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $96.15 / $131.46	Professional		$5.00	$96.15	$131.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $61.55 / $61.55	Facility		$61.55	$61.55	$61.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $157.33 / $244.73	Professional		$122.37	$157.33	$244.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.99 / $384.07 / $773.99	Facility		$115.99	$384.07	$773.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $139.15 / $297.67	Professional		$87.24	$139.15	$297.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $312.41 / $830.35 / $830.35	Facility		$312.41	$830.35	$830.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $174.81 / $262.22	Facility		$110.13	$174.81	$262.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $174.81 / $262.22	Professional		$165.06	$174.81	$262.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $209.77 / $393.32	Professional		$113.63	$209.77	$393.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $206.08 / $676.76	Facility		$122.37	$206.08	$676.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $201.03 / $297.67	Professional		$88.90	$201.03	$297.67
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.53 / $107.68	Professional		$73.42	$73.53	$107.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $174.81 / $235.99	Professional		$68.18	$174.81	$235.99