Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $123.03	Professional		$72.44	$100.00	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $316.23 / $575.44	Facility		$154.88	$316.23	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $87.10	Professional		$74.13	$87.10	$87.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $194.98	Professional		$87.10	$109.65	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Facility		$107.15	$107.15	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $851.14	Professional		$660.69	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $218.78	Facility		$85.11	$138.04	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $186.21	Professional		$72.44	$102.33	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $269.15	Professional		$162.18	$204.17	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $131.83 / $213.80	Facility		$87.10	$131.83	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $213.80	Professional		$100.00	$100.00	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $177.83	Professional		$87.10	$114.82	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $131.83	Professional		$87.10	$109.65	$131.83