Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $109.32 / $152.35	Facility		$70.53	$109.32	$152.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.06 / $89.21	Professional		$71.37	$72.06	$89.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $133.13 / $263.00	Facility		$52.60	$133.13	$263.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $73.02	Professional		$73.02	$73.02	$73.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $80.31 / $4,633.29	Facility		$54.98	$80.31	$4,633.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $82.41 / $99.92	Professional		$69.84	$82.41	$99.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $80.00	Facility		$70.79	$70.79	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $71.37 / $71.37	Facility		$67.33	$71.37	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $338.15 / $356.85	Facility		$89.96	$338.15	$356.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.38 / $288.38 / $288.38	Professional		$288.38	$288.38	$288.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $71.37 / $113.95	Facility		$69.84	$71.37	$113.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.80 / $117.76	Professional		$71.37	$72.80	$117.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $78.51 / $128.69	Professional		$70.16	$78.51	$128.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $116.64	Facility		$71.37	$71.37	$116.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $81.65	Professional		$71.37	$71.37	$81.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $79.45	Professional		$71.37	$75.65	$79.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $71.37 / $99.92	Professional		$65.31	$71.37	$99.92