Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $112.64 / $278.64	Facility		$74.20	$112.64	$278.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $92.88 / $142.26	Professional		$74.20	$92.88	$142.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $233.43 / $453.90	Facility		$96.12	$233.43	$453.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $73.08 / $121.18	Professional		$64.76	$73.08	$121.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $199.80 / $228.80	Facility		$120.00	$199.80	$228.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $64.84 / $89.45	Facility		$64.84	$64.84	$89.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $98.14 / $138.75	Facility		$85.50	$98.14	$138.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $119.86 / $191.98	Professional		$84.48	$119.86	$191.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $469.35 / $469.35	Facility		$203.22	$469.35	$469.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.22 / $763.46 / $763.46	Professional		$741.22	$763.46	$763.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $112.36 / $194.83	Facility		$84.56	$112.36	$194.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $136.09 / $185.17	Professional		$88.27	$136.09	$185.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $116.40 / $190.29	Professional		$89.33	$116.40	$190.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $112.18 / $194.47	Facility		$85.06	$112.18	$194.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $128.47 / $229.77	Professional		$85.56	$128.47	$229.77
United Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $99.41 / $172.57	Professional		$75.89	$99.41	$172.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $86.43 / $120.88	Professional		$75.92	$86.43	$120.88