Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.44 / $228.06 / $600.10	Facility		$90.44	$228.06	$600.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $91.66 / $182.11	Professional		$73.33	$91.66	$182.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.21 / $391.10 / $662.43	Facility		$150.21	$391.10	$662.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $67.22 / $171.11	Professional		$5.00	$67.22	$171.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $177.22 / $275.00	Facility		$122.22	$177.22	$275.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $332.75 / $332.75	Facility		$122.22	$332.75	$332.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $284.23 / $617.41	Facility		$110.47	$284.23	$617.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $116.22 / $242.00	Professional		$62.85	$116.22	$242.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.31 / $580.54 / $580.54	Facility		$242.31	$580.54	$580.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $916.65	Professional		$611.10	$611.10	$916.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $122.22 / $208.14	Facility		$77.00	$122.22	$208.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $122.22 / $152.78	Professional		$116.11	$122.22	$152.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $146.66 / $275.00	Professional		$79.44	$146.66	$275.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $150.31 / $527.94	Facility		$91.67	$150.31	$527.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $140.55 / $222.10	Professional		$62.85	$140.55	$222.10
United Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $122.22 / $152.78	Facility		$92.21	$122.22	$152.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.03 / $122.22	Professional		$51.33	$70.03	$122.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $122.22 / $165.00	Professional		$47.67	$122.22	$165.00