Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $360.60 / $918.36	Facility		$143.01	$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 $236.63 / $470.37 / $991.37	Facility		$236.63	$470.37	$991.37
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 Facility Modifier Low / Median / High Price $159.69 / $280.20 / $357.51	Facility		$159.69	$280.20	$357.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $173.93 / $270.55	Professional		$135.28	$173.93	$270.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $191.32 / $191.32 / $193.25	Facility		$191.32	$191.32	$193.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $441.56 / $860.62	Facility		$137.41	$441.56	$860.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $111.09 / $304.01	Professional		$88.27	$111.09	$304.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $473.46 / $1,189.41 / $1,189.41	Facility		$473.46	$1,189.41	$1,189.41
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 $117.88 / $193.25 / $309.20	Facility		$117.88	$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 / $222.24 / $748.20	Facility		$135.28	$222.24	$748.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $173.93 / $300.55	Professional		$90.67	$173.93	$300.55
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $82.82 / $123.68	Professional		$81.17	$82.82	$123.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $193.25 / $260.89	Professional		$75.37	$193.25	$260.89