Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $84.04 / $174.88	Facility		$63.67	$84.04	$174.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $78.52 / $109.72	Professional		$63.67	$78.52	$109.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $184.03 / $366.75	Facility		$74.23	$184.03	$366.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $60.01 / $67.73	Professional		$49.34	$60.01	$67.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $129.86 / $135.00	Facility		$77.52	$129.86	$135.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $89.28 / $151.80	Professional		$87.81	$89.28	$151.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $81.72 / $81.72	Facility		$57.32	$81.72	$81.72
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 $66.87 / $91.41 / $144.87	Professional		$66.87	$91.41	$144.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.89 / $357.30 / $357.30	Facility		$271.89	$357.30	$357.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $741.22 / $763.46	Professional		$513.00	$741.22	$763.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $88.24 / $159.91	Facility		$66.34	$88.24	$159.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $103.35 / $134.36	Professional		$77.62	$103.35	$134.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $159.00 / $410.06	Facility		$77.66	$159.00	$410.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $87.61 / $105.76	Professional		$69.79	$87.61	$105.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $87.62 / $157.96	Facility		$65.25	$87.62	$157.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $93.02 / $149.60	Professional		$67.95	$93.02	$149.60
United Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $87.36 / $144.57	Professional		$66.23	$87.36	$144.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $81.16 / $84.69	Professional		$71.22	$81.16	$84.69