Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $241.15 / $484.31	Facility		$190.69	$241.15	$484.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $230.39 / $243.59	Professional		$195.83	$230.39	$243.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.04 / $401.92 / $790.82	Facility		$157.04	$401.92	$790.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $214.11 / $214.11	Professional		$214.11	$214.11	$214.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $216.28 / $744.65	Facility		$56.32	$216.28	$744.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.87 / $438.90 / $783.90	Facility		$218.87	$438.90	$783.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $218.87 / $287.99	Professional		$59.63	$218.87	$287.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $219.45 / $329.46	Facility		$70.88	$219.45	$329.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $57.47 / $57.47	Professional		$57.47	$57.47	$57.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.00 / $142.36	Facility		$3.64	$5.00	$142.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $215.17 / $329.46	Facility		$94.14	$215.17	$329.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $215.17 / $215.17	Professional		$82.02	$215.17	$215.17
United Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $226.70 / $230.39	Professional		$182.51	$226.70	$230.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $177.81 / $240.04	Professional		$177.81	$177.81	$240.04