Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $89.13	Facility		$60.26	$60.26	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $93.33	Professional		$57.54	$67.61	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $74.13	Professional		$54.95	$64.57	$74.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $186.21	Professional		$95.50	$95.50	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $162.18	Professional		$67.61	$93.33	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $158.49	Facility		$60.26	$81.28	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $104.71	Professional		$57.54	$69.18	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $186.21	Professional		$141.25	$154.88	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $85.11 / $154.88	Facility		$60.26	$85.11	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $177.83	Professional		$66.07	$95.50	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $128.82	Professional		$63.10	$83.18	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $77.62	Professional		$60.26	$64.57	$77.62