Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $291.26 / $522.11	Facility		$72.81	$291.26	$522.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $77.16 / $144.11	Professional		$57.47	$77.16	$144.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.74 / $304.64 / $572.88	Facility		$117.74	$304.64	$572.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $52.69 / $134.12	Professional		$5.00	$52.69	$134.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $88.52 / $143.69 / $257.00	Facility		$88.52	$143.69	$257.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $134.12 / $207.17	Professional		$72.00	$134.12	$207.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $81.43 / $95.80	Facility		$81.43	$81.43	$95.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $209.23 / $429.69	Facility		$97.47	$209.23	$429.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $91.11 / $180.03	Professional		$53.37	$91.11	$180.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.60 / $455.05 / $455.05	Facility		$182.60	$455.05	$455.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $487.81 / $718.50	Professional		$479.00	$487.81	$718.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $117.62 / $382.68	Facility		$71.84	$117.62	$382.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $95.80 / $152.00	Professional		$91.01	$95.80	$152.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $879.00 / $1,418.00	Facility		$662.00	$879.00	$1,418.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $95.80 / $215.55	Professional		$62.27	$95.80	$215.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $129.33 / $402.45	Facility		$74.72	$129.33	$402.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $98.91 / $174.28	Professional		$56.39	$98.91	$174.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $49.62 / $68.06	Professional		$40.24	$49.62	$68.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $49.62 / $95.80	Professional		$42.02	$49.62	$95.80