Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $176.77 / $490.32	Facility		$70.11	$176.77	$490.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $72.00 / $196.38	Professional		$56.84	$72.00	$196.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $302.22 / $510.65	Facility		$115.58	$302.22	$510.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $52.11 / $132.63	Professional		$5.00	$52.11	$132.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $85.27 / $132.63	Professional		$66.31	$85.27	$132.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $94.74 / $94.74	Facility		$80.00	$94.74	$94.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.97 / $217.17 / $464.08	Facility		$82.97	$217.17	$464.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $90.14 / $182.00	Professional		$48.79	$90.14	$182.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $232.11 / $450.02 / $450.02	Facility		$232.11	$450.02	$450.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $473.70 / $710.55	Professional		$473.70	$473.70	$710.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.69 / $94.74 / $156.56	Facility		$59.69	$94.74	$156.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $94.74 / $118.43	Professional		$90.00	$94.74	$118.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $113.69 / $213.16	Professional		$61.58	$113.69	$213.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $116.52 / $409.79	Facility		$71.06	$116.52	$409.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $108.95 / $172.39	Professional		$50.21	$108.95	$172.39
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $52.61 / $67.64	Professional		$39.79	$52.61	$67.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $94.74 / $127.90	Professional		$36.95	$94.74	$127.90