Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $143.00 / $493.20	Facility		$70.76	$143.00	$493.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $82.70 / $129.59	Professional		$59.36	$82.70	$129.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $232.38 / $462.88	Facility		$93.70	$232.38	$462.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $88.61 / $88.61	Professional		$78.51	$88.61	$88.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $212.90 / $243.80	Facility		$120.00	$212.90	$243.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.09 / $137.93	Professional		$100.00	$109.09	$137.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.94 / $118.78 / $118.78	Facility		$109.94	$118.78	$118.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $110.00	Facility		$60.00	$70.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $112.87 / $169.57	Professional		$88.77	$112.87	$169.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.18 / $508.62 / $566.91	Facility		$255.18	$508.62	$566.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $702.98 / $702.98 / $910.50	Professional		$702.98	$702.98	$910.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $116.71 / $192.64	Facility		$67.86	$116.71	$192.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $141.28 / $193.99	Professional		$83.50	$141.28	$193.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $134.51 / $139.81	Professional		$130.31	$134.51	$139.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $113.60 / $184.27	Facility		$65.00	$113.60	$184.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $114.35 / $178.78	Professional		$88.77	$114.35	$178.78
United Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $86.94 / $119.55	Facility		$86.94	$86.94	$119.55
United Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $92.57 / $146.55	Professional		$70.91	$92.57	$146.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $106.10 / $110.48	Professional		$80.00	$106.10	$110.48