Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $83.18 / $794.33	Facility		$36.31	$83.18	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $100.00 / $169.82	Professional		$40.74	$100.00	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $128.82 / $239.88	Facility		$56.23	$128.82	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $93.33 / $173.78	Professional		$38.90	$93.33	$173.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $213.80 / $380.19	Facility		$70.79	$213.80	$380.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $204.17	Professional		$45.71	$60.26	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $114.82 / $125.89	Facility		$37.15	$114.82	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $234.42	Facility		$39.81	$70.79	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $213.80	Professional		$46.77	$120.23	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,047.13	Professional		$851.14	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $114.82 / $223.87	Facility		$42.66	$114.82	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $100.00 / $190.55	Professional		$40.74	$100.00	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $158.49 / $363.08	Professional		$46.77	$158.49	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $114.82 / $229.09	Facility		$42.66	$114.82	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $114.82 / $229.09	Professional		$45.71	$114.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $338.84 / $446.68	Facility		$323.59	$338.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $91.20 / $181.97	Professional		$39.81	$91.20	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $125.89 / $144.54	Professional		$33.88	$125.89	$144.54