Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $324.47 / $909.33	Facility		$122.23	$324.47	$909.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $129.63 / $222.24	Professional		$103.71	$129.63	$222.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $565.66 / $987.12	Facility		$203.72	$565.66	$987.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $101.86 / $185.20	Professional		$5.00	$101.86	$185.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $166.68 / $259.27	Professional		$129.63	$166.68	$259.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.35 / $183.35 / $185.20	Facility		$183.35	$183.35	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $406.88 / $825.86	Facility		$123.36	$406.88	$825.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $103.63 / $289.13	Professional		$84.41	$103.63	$289.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.32 / $879.70 / $879.70	Facility		$296.32	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $926.00 / $1,389.00	Professional		$926.00	$926.00	$1,389.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $185.20 / $277.80	Facility		$116.68	$185.20	$277.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $231.50	Professional		$185.20	$185.20	$231.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $222.24 / $416.70	Professional		$120.38	$222.24	$416.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $198.63 / $666.79	Facility		$125.80	$198.63	$666.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $166.68 / $281.20	Professional		$85.22	$166.68	$281.20
United Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $185.20 / $222.24	Facility		$77.78	$185.20	$222.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $118.53	Professional		$77.78	$77.78	$118.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $185.20 / $250.02	Professional		$72.23	$185.20	$250.02