Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $139.33 / $368.34	Facility		$113.28	$139.33	$368.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $116.11 / $156.97	Professional		$113.28	$116.11	$156.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $277.83 / $581.25	Facility		$116.25	$277.83	$581.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $119.74 / $119.74	Professional		$119.74	$119.74	$119.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $533.29 / $2,051.59 / $2,194.21	Facility		$533.29	$2,051.59	$2,194.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $379.61 / $379.61 / $379.61	Facility		$379.61	$379.61	$379.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $521.65 / $531.00	Facility		$139.50	$521.65	$531.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $141.60 / $166.04	Facility		$116.11	$141.60	$166.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $226.77 / $2,499.00 / $3,850.00	Facility		$226.77	$2,499.00	$3,850.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $120.36 / $166.04	Facility		$118.58	$120.36	$166.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $159.30	Professional		$118.00	$118.00	$159.30