Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $264.99 / $458.68	Facility		$185.63	$264.99	$458.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $258.61 / $271.54	Professional		$219.81	$258.61	$271.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $427.01 / $843.55	Facility		$168.71	$427.01	$843.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $163.30 / $163.30	Professional		$163.30	$163.30	$163.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $682.50 / $682.50	Facility		$682.50	$682.50	$682.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $107.60 / $107.60	Facility		$107.60	$107.60	$107.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.68 / $517.22 / $890.51	Facility		$245.68	$517.22	$890.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.61 / $258.61 / $369.81	Facility		$258.61	$258.61	$369.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $17.10 / $22.37	Facility		$12.43	$17.10	$22.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $241.37 / $369.81	Facility		$169.58	$241.37	$369.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
United Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $254.30 / $258.61	Professional		$204.73	$254.30	$258.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $201.86 / $272.51	Professional		$201.86	$201.86	$272.51