Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $198.03 / $382.59	Facility		$53.08	$198.03	$382.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.35 / $106.05	Professional		$39.31	$53.35	$106.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $217.52 / $377.68	Facility		$86.28	$217.52	$377.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $38.61 / $98.28	Professional		$5.00	$38.61	$98.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $105.30 / $357.46	Facility		$66.69	$105.30	$357.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $98.28 / $157.94	Professional		$63.18	$98.28	$157.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $59.67 / $70.20	Facility		$59.67	$59.67	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $153.32 / $312.54	Facility		$56.27	$153.32	$312.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $65.09 / $131.46	Professional		$38.61	$65.09	$131.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $333.45 / $333.45	Facility		$112.32	$333.45	$333.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $526.50	Professional		$351.00	$351.00	$526.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $70.20 / $121.65	Facility		$42.82	$70.20	$121.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $112.32	Professional		$70.20	$70.20	$112.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $87.75 / $157.94	Professional		$45.63	$87.75	$157.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $76.29 / $253.01	Facility		$49.14	$76.29	$253.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $70.20 / $123.26	Professional		$39.76	$70.20	$123.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $36.40 / $52.00	Professional		$29.48	$36.40	$52.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $36.36 / $70.20	Professional		$34.65	$36.36	$70.20