Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $416.87	Professional		$263.03	$323.59	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $512.86	Professional		$281.84	$354.81	$512.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Facility		$302.00	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $630.96	Professional		$288.40	$380.19	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $2,630.27	Professional		$2,344.23	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $660.69	Facility		$302.00	$389.05	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $562.34	Professional		$275.42	$338.84	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $812.83	Professional		$338.84	$588.84	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $676.08	Facility		$302.00	$398.11	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $724.44	Professional		$281.84	$380.19	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $489.78	Professional		$245.47	$316.23	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $416.87	Professional		$229.09	$331.13	$416.87