Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $143.00 / $485.81	Facility		$73.70	$143.00	$485.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $90.67 / $128.07	Professional		$60.03	$90.67	$128.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.36 / $226.15 / $446.80	Facility		$91.36	$226.15	$446.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $87.54 / $87.54	Professional		$77.56	$87.54	$87.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $207.98 / $238.17	Facility		$120.00	$207.98	$238.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $117.90 / $161.62	Professional		$107.53	$117.90	$161.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.41 / $114.79 / $114.79	Facility		$107.41	$114.79	$114.79
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 $87.54 / $112.76 / $172.38	Professional		$87.54	$112.76	$172.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.71 / $499.54 / $556.70	Facility		$251.71	$499.54	$556.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $692.10 / $692.10 / $892.35	Professional		$692.10	$692.10	$892.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $116.53 / $191.41	Facility		$66.95	$116.53	$191.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $138.76 / $183.40	Professional		$86.71	$138.76	$183.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $131.77 / $136.97	Professional		$128.10	$131.77	$136.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $112.91 / $184.27	Facility		$65.00	$112.91	$184.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $114.88 / $181.43	Professional		$86.72	$114.88	$181.43
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $91.90 / $145.79	Professional		$69.29	$91.90	$145.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $104.27 / $108.40	Professional		$80.00	$104.27	$108.40