Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $72.56 / $112.58	Facility		$64.42	$72.56	$112.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $88.91 / $117.49	Professional		$71.69	$88.91	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $74.84 / $110.34	Professional		$58.59	$74.84	$110.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $83.22 / $110.02	Professional		$73.61	$83.22	$110.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $88.15 / $108.21	Facility		$85.56	$88.15	$108.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $107.20 / $165.74	Professional		$79.36	$107.20	$165.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $408.75 / $436.95 / $436.95	Facility		$408.75	$436.95	$436.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $553.95 / $619.07 / $819.23	Professional		$553.95	$619.07	$819.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.03 / $93.40 / $122.46	Facility		$76.03	$93.40	$122.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $131.01 / $178.74	Professional		$100.44	$131.01	$178.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $120.05 / $164.16	Professional		$90.08	$120.05	$164.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $93.02 / $122.39	Facility		$74.73	$93.02	$122.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $93.14 / $183.17	Professional		$45.00	$93.14	$183.17
United Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $97.42 / $158.01	Professional		$70.23	$97.42	$158.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $99.89 / $137.07	Professional		$84.75	$99.89	$137.07