Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $74.64 / $193.92	Facility		$61.12	$74.64	$193.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $82.75 / $121.95	Professional		$66.06	$82.75	$121.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $254.48 / $475.09	Facility		$107.10	$254.48	$475.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $87.82 / $161.24	Professional		$65.06	$87.82	$161.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $209.11 / $318.89	Facility		$209.11	$209.11	$318.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $102.05 / $145.22	Professional		$79.48	$102.05	$145.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $80.61 / $80.61	Facility		$77.64	$80.61	$80.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $105.16 / $165.93	Professional		$80.18	$105.16	$165.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $390.64 / $390.64	Facility		$194.13	$390.64	$390.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $509.49 / $509.49 / $674.25	Professional		$509.49	$509.49	$674.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $88.61 / $173.48	Facility		$73.70	$88.61	$173.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $127.31 / $155.16	Professional		$79.56	$127.31	$155.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $92.64 / $158.02	Professional		$78.50	$92.64	$158.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $90.23 / $193.69	Facility		$74.64	$90.23	$193.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $107.73 / $188.08	Professional		$80.18	$107.73	$188.08
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $97.31 / $152.54	Professional		$73.98	$97.31	$152.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $79.56 / $109.90	Professional		$67.91	$79.56	$109.90