Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $263.03 / $912.01	Facility		$104.71	$263.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $208.93	Professional		$104.71	$138.04	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $524.81 / $912.01	Facility		$218.78	$524.81	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $95.50 / $239.88	Professional		$5.01	$95.50	$239.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $245.47	Professional		$123.03	$239.88	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $173.78	Facility		$79.43	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $776.25	Facility		$114.82	$316.23	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $295.12	Professional		$79.43	$112.20	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,318.26	Professional		$870.96	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $389.05	Facility		$131.83	$173.78	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $138.04 / $218.78	Professional		$7.94	$138.04	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $177.83	Professional		$147.91	$147.91	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $371.54	Professional		$173.78	$190.55	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $186.21 / $512.86	Facility		$125.89	$186.21	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $275.42	Professional		$77.62	$123.03	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $173.78	Facility		$63.10	$74.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Professional		$74.13	$74.13	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $173.78	Professional		$67.61	$147.91	$173.78