Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $174.62 / $188.59	Facility		$132.71	$174.62	$188.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $174.62 / $232.83	Professional		$112.29	$174.62	$232.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $300.68 / $729.60	Facility		$198.98	$300.68	$729.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $126.55 / $126.55	Professional		$126.55	$126.55	$126.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $218.04 / $278.39	Professional		$189.82	$218.04	$278.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $159.74 / $311.60	Facility		$159.74	$159.74	$311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.71 / $1,249.08 / $1,263.03	Facility		$446.71	$1,249.08	$1,263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,994.25	Professional		$1,324.18	$1,324.18	$1,994.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.62 / $208.11 / $331.64	Facility		$174.62	$208.11	$331.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $252.61 / $265.89	Professional		$226.02	$252.61	$265.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $305.79 / $523.90	Professional		$134.30	$305.79	$523.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.95 / $209.33 / $341.68	Facility		$176.95	$209.33	$341.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $221.09	Professional		$135.78	$135.78	$221.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $122.65 / $161.76	Professional		$93.97	$122.65	$161.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $265.89 / $358.97	Professional		$114.18	$265.89	$358.97