Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $213.90 / $432.12	Facility		$95.90	$213.90	$432.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $130.72	Professional		$95.90	$96.86	$130.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.62 / $3,672.77 / $7,663.11	Facility		$1,532.62	$3,672.77	$7,663.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.29 / $349.29 / $349.29	Professional		$349.29	$349.29	$349.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $108.03 / $134.26	Professional		$108.03	$108.03	$134.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $86.94	Facility		$80.00	$80.00	$86.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $200.54	Facility		$90.47	$95.90	$200.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $99.52	Professional		$95.90	$95.90	$99.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,971.72 / $2,009.53 / $2,247.46	Facility		$1,971.72	$2,009.53	$2,247.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,879.42 / $5,879.42 / $5,879.42	Professional		$5,879.42	$5,879.42	$5,879.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $123.23 / $1,567.85	Facility		$95.90	$123.23	$1,567.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $97.82 / $158.24	Professional		$95.90	$97.82	$158.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $105.49 / $2,102.69	Professional		$86.94	$105.49	$2,102.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $122.09 / $1,549.47	Facility		$95.90	$122.09	$1,549.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $220.31	Professional		$95.90	$95.90	$220.31
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $131.41	Professional		$95.90	$101.65	$131.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $108.03 / $134.26	Professional		$95.90	$108.03	$134.26