Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $112.37 / $256.38	Facility		$65.23	$112.37	$256.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $84.40 / $111.39	Professional		$65.23	$84.40	$111.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.94 / $217.21 / $434.42	Facility		$87.94	$217.21	$434.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $67.73 / $67.73	Professional		$60.01	$67.73	$67.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $188.72 / $226.92	Facility		$94.50	$188.72	$226.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $87.81 / $96.76	Professional		$80.00	$87.81	$96.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $109.49 / $109.49	Facility		$82.55	$109.49	$109.49
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 $72.41 / $95.25 / $142.66	Professional		$72.41	$95.25	$142.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.89 / $387.55 / $436.00	Facility		$191.89	$387.55	$436.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $537.75 / $694.88	Professional		$537.75	$537.75	$694.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $87.23 / $132.91	Facility		$33.27	$87.23	$132.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $107.65 / $136.63	Professional		$66.93	$107.65	$136.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $159.00 / $211.00	Facility		$69.00	$159.00	$211.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $85.80 / $120.69	Facility		$34.02	$85.80	$120.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $95.81 / $144.40	Professional		$76.67	$95.81	$144.40
United Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $83.54 / $136.66	Professional		$65.95	$83.54	$136.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $80.63 / $83.93	Professional		$70.68	$80.63	$83.93