Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.20 / $189.20 / $189.20	Facility		$189.20	$189.20	$189.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.60 / $242.10 / $242.10	Professional		$206.60	$242.10	$242.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $486.79 / $870.27	Facility		$166.14	$486.79	$870.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $121.93 / $121.93	Professional		$103.64	$121.93	$121.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $70.37 / $107.51	Facility		$70.37	$70.37	$107.51
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 Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $131.04	Facility		$100.00	$100.00	$131.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.10 / $242.10 / $557.16	Facility		$242.10	$242.10	$557.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $151.91 / $253.22	Professional		$138.56	$151.91	$253.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.10 / $242.10 / $544.73	Facility		$242.10	$242.10	$544.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $66.73 / $93.42	Professional		$66.73	$66.73	$93.42