Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $306.27 / $858.32	Facility		$115.37	$306.27	$858.32
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 $244.73 / $370.60 / $856.57	Facility		$244.73	$370.60	$856.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $96.15 / $244.73	Professional		$5.00	$96.15	$244.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $179.36 / $393.32	Professional		$122.37	$179.36	$393.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $174.81 / $174.81	Facility		$80.00	$174.81	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $381.24 / $779.10	Facility		$116.46	$381.24	$779.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $97.98 / $273.38	Professional		$79.63	$97.98	$273.38
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 $174.81 / $174.81 / $262.22	Professional		$174.81	$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 $121.79 / $187.49 / $585.61	Facility		$121.79	$187.49	$585.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $165.06 / $269.74	Professional		$79.91	$165.06	$269.74
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $111.88	Professional		$73.42	$73.42	$111.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $174.81 / $235.99	Professional		$68.18	$174.81	$235.99