Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $108.00 / $364.00	Facility		$48.68	$108.00	$364.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $64.79 / $94.97	Professional		$39.64	$64.79	$94.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $196.10 / $392.21	Facility		$80.37	$196.10	$392.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $68.23 / $68.23	Professional		$61.04	$68.23	$68.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $120.00 / $209.09	Facility		$75.61	$120.00	$209.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $82.89 / $113.49	Professional		$75.61	$82.89	$113.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $81.66 / $81.66	Facility		$74.84	$81.66	$81.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $95.00	Facility		$60.00	$70.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $83.74 / $127.40	Professional		$57.53	$83.74	$127.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.90 / $351.19 / $392.92	Facility		$175.90	$351.19	$392.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $483.64 / $483.64 / $627.98	Professional		$483.64	$483.64	$627.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $71.83 / $107.54	Facility		$32.21	$71.83	$107.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $93.80 / $118.03	Professional		$67.08	$93.80	$118.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $123.00 / $211.00	Facility		$69.00	$123.00	$211.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $66.37 / $70.27	Professional		$64.97	$66.37	$70.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $95.00	Facility		$60.00	$75.00	$95.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $86.07 / $130.38	Professional		$63.49	$86.07	$130.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $73.38 / $118.48	Professional		$59.88	$73.38	$118.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $73.22 / $80.00	Professional		$64.04	$73.22	$80.00