Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $142.68 / $412.00	Facility		$55.25	$142.68	$412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $66.76 / $109.32	Professional		$47.74	$66.76	$109.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $214.50 / $426.25	Facility		$86.49	$214.50	$426.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $80.31 / $80.31	Professional		$71.16	$80.31	$80.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $186.34 / $213.38	Facility		$120.00	$186.34	$213.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $104.87 / $150.56	Professional		$95.34	$104.87	$150.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $80.43 / $96.28	Facility		$80.43	$80.43	$96.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $74.69 / $125.97	Professional		$54.44	$74.69	$125.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.88 / $458.69 / $516.79	Facility		$225.88	$458.69	$516.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $633.66 / $824.10	Professional		$633.66	$633.66	$824.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $95.34 / $152.83	Facility		$60.14	$95.34	$152.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $122.51 / $183.00	Professional		$89.99	$122.51	$183.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $100.60 / $173.91	Professional		$75.45	$100.60	$173.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $88.85 / $135.51	Facility		$59.84	$88.85	$135.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $75.63 / $131.57	Professional		$55.10	$75.63	$131.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $73.52 / $96.47	Professional		$64.87	$73.52	$96.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $95.34 / $99.38	Professional		$80.00	$95.34	$99.38