Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $101.87 / $147.02	Facility		$79.69	$101.87	$147.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $102.45 / $137.22	Professional		$84.38	$102.45	$137.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $277.50 / $554.70	Facility		$111.00	$277.50	$554.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $82.45 / $82.45	Professional		$73.06	$82.45	$82.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $255.49 / $292.56	Facility		$112.72	$255.49	$292.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $100.35 / $100.35	Facility		$97.35	$100.35	$100.35
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 $77.63 / $115.73 / $174.13	Professional		$77.63	$115.73	$174.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.53 / $472.31 / $534.23	Facility		$230.53	$472.31	$534.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $657.65 / $657.65 / $850.58	Professional		$657.65	$657.65	$850.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $102.90 / $156.83	Facility		$70.42	$102.90	$156.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $131.19 / $180.14	Professional		$81.58	$131.19	$180.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $89.79 / $95.07	Professional		$87.69	$89.79	$95.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.70 / $151.38	Facility		$65.00	$100.70	$151.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $118.34 / $184.38	Professional		$86.04	$118.34	$184.38
United Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $100.54 / $158.87	Professional		$78.97	$100.54	$158.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $98.02 / $102.28	Professional		$80.00	$98.02	$102.28