Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.41 / $197.57 / $912.92	Facility		$116.41	$197.57	$912.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $172.05 / $267.74	Professional		$122.19	$172.05	$267.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.66 / $495.16 / $986.32	Facility		$199.66	$495.16	$986.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $181.77 / $181.77	Professional		$161.06	$181.77	$181.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $218.02 / $250.72 / $643.89	Facility		$218.02	$250.72	$643.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $218.02 / $246.81 / $337.93	Professional		$218.02	$246.81	$337.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $222.54 / $223.28 / $223.28	Facility		$222.54	$223.28	$223.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $110.00	Facility		$60.00	$75.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $233.36 / $351.50	Professional		$181.49	$233.36	$351.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $522.82 / $1,046.03 / $1,170.26	Facility		$522.82	$1,046.03	$1,170.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.30 / $1,433.30 / $1,872.45	Professional		$1,433.30	$1,433.30	$1,872.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $190.71 / $295.95	Facility		$113.60	$190.71	$295.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $290.56 / $378.70	Professional		$173.38	$290.56	$378.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $272.52 / $283.64	Professional		$265.72	$272.52	$283.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $120.00	Facility		$60.00	$75.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $237.78 / $377.45	Professional		$181.49	$237.78	$377.45
United Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $191.93 / $301.70	Professional		$148.87	$191.93	$301.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $218.02 / $226.86	Professional		$80.00	$218.02	$226.86