Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $192.25 / $305.30	Facility		$89.34	$192.25	$305.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $126.54	Professional		$89.34	$90.24	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $293.55 / $579.90	Facility		$115.98	$293.55	$579.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $81.42 / $81.42	Professional		$81.42	$81.42	$81.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $123.36 / $2,449.40	Facility		$118.30	$123.36	$2,449.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $125.08 / $181.96	Professional		$89.34	$125.08	$181.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.61 / $72.61 / $80.00	Facility		$72.61	$72.61	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $121.89	Facility		$84.29	$89.34	$121.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $92.72	Professional		$89.34	$89.34	$92.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $588.60 / $593.75	Facility		$131.07	$588.60	$593.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.52 / $1,160.52 / $1,160.52	Professional		$1,160.52	$1,160.52	$1,160.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $104.58 / $201.02	Facility		$89.34	$104.58	$201.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $91.13 / $147.41	Professional		$89.34	$91.13	$147.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $98.28 / $190.23	Professional		$72.61	$98.28	$190.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $201.02	Facility		$89.34	$89.34	$201.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $163.59	Professional		$89.34	$89.34	$163.59
United Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $118.75 / $118.75	Facility		$118.75	$118.75	$118.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $99.45	Professional		$89.34	$94.70	$99.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $115.04 / $133.32	Professional		$89.34	$115.04	$133.32