Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.78 / $360.60 / $918.36	Facility		$143.78	$360.60	$918.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $139.13 / $231.90	Professional		$108.22	$139.13	$231.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.29 / $471.53 / $993.30	Facility		$249.29	$471.53	$993.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $106.29 / $270.55	Professional		$5.00	$106.29	$270.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $171.00 / $190.00	Professional		$135.28	$171.00	$190.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $192.29 / $193.25	Facility		$192.29	$192.29	$193.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $424.56 / $860.32	Facility		$130.84	$424.56	$860.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $153.87 / $328.92	Professional		$97.90	$153.87	$328.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $355.38 / $917.94 / $917.94	Facility		$355.38	$917.94	$917.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $966.25 / $1,449.38	Professional		$966.25	$966.25	$1,449.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $193.25 / $309.20	Facility		$121.75	$193.25	$309.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $193.25 / $241.56	Professional		$183.59	$193.25	$241.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $231.90 / $434.81	Professional		$125.61	$231.90	$434.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $231.90 / $748.20	Facility		$135.28	$231.90	$748.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $222.24 / $328.92	Professional		$98.47	$222.24	$328.92
United Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $81.17 / $193.25	Facility		$69.56	$81.17	$193.25
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $82.94 / $118.49	Professional		$81.17	$82.94	$118.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $193.25 / $260.89	Professional		$75.37	$193.25	$260.89