Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $330.97 / $712.63	Facility		$186.90	$330.97	$712.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $186.90 / $233.63	Professional		$177.56	$186.90	$233.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $302.39 / $578.42	Facility		$117.98	$302.39	$578.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $127.51 / $127.51	Professional		$127.51	$127.51	$127.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $177.56 / $399.51	Facility		$97.33	$177.56	$399.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $193.94 / $228.00	Professional		$177.56	$193.94	$228.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $25.68 / $25.68	Facility		$25.68	$25.68	$25.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.59 / $373.80 / $664.35	Facility		$182.59	$373.80	$664.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $186.90 / $267.27	Facility		$177.56	$186.90	$267.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $167.82 / $177.56	Professional		$167.82	$167.82	$177.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $77.59 / $177.72	Facility		$59.93	$77.59	$177.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.31 / $174.44 / $267.27	Facility		$137.31	$174.44	$267.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $177.56	Professional		$174.44	$174.44	$177.56
United Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $183.79 / $186.90	Professional		$147.96	$183.79	$186.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $150.58 / $239.71	Professional		$150.58	$150.58	$239.71