Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $323.13 / $896.26	Facility		$128.84	$323.13	$896.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $128.15 / $268.07	Professional		$103.90	$128.15	$268.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $560.16 / $1,045.04	Facility		$213.80	$560.16	$1,045.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $95.24 / $242.44	Professional		$5.00	$95.24	$242.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $285.73 / $1,037.00	Facility		$190.49	$285.73	$1,037.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $173.17 / $173.17	Facility		$80.00	$173.17	$173.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $383.60 / $809.81	Facility		$198.36	$383.60	$809.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $128.63 / $381.82	Professional		$98.10	$128.63	$381.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $826.74 / $826.74	Facility		$412.95	$826.74	$826.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.46 / $1,423.97 / $1,423.97	Professional		$1,338.46	$1,423.97	$1,423.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.68 / $257.67 / $434.07	Facility		$138.68	$257.67	$434.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $240.20	Professional		$173.17	$173.17	$240.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $207.80 / $389.63	Professional		$112.56	$207.80	$389.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $278.25 / $632.59	Facility		$142.13	$278.25	$632.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $171.77 / $355.58	Professional		$100.29	$171.77	$355.58
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $144.46 / $343.40	Professional		$103.90	$144.46	$343.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $98.11 / $173.17	Professional		$89.70	$98.11	$173.17