Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.16 / $357.12 / $706.50	Facility		$245.16	$357.12	$706.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $329.37 / $438.40	Professional		$312.89	$329.37	$438.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.88 / $627.38 / $1,251.79	Facility		$247.88	$627.38	$1,251.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $321.27 / $321.27	Professional		$321.27	$321.27	$321.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $334.31 / $704.03	Facility		$160.58	$334.31	$704.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $379.38 / $503.77	Professional		$312.89	$379.38	$503.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $42.81 / $42.81	Facility		$42.81	$42.81	$42.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $658.74 / $1,176.64	Facility		$338.50	$658.74	$1,176.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $284.36 / $317.81 / $418.18	Professional		$284.36	$317.81	$418.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $329.37 / $471.00	Facility		$312.89	$329.37	$471.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $312.89 / $660.00	Professional		$295.58	$312.89	$660.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $27.22 / $146.36	Facility		$20.13	$27.22	$146.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $471.00	Facility		$307.55	$307.55	$471.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $312.89	Professional		$307.55	$307.55	$312.89
United Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $324.02 / $334.54	Professional		$260.87	$324.02	$334.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.79 / $266.79 / $422.42	Professional		$266.79	$266.79	$422.42