Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $776.25	Facility		$194.98	$309.03	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $239.88	Professional		$194.98	$199.53	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $457.09 / $870.96	Facility		$186.21	$457.09	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $426.58 / $13,803.84	Facility		$190.55	$426.58	$13,803.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $354.81	Facility		$194.98	$213.80	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $218.78	Professional		$151.36	$190.55	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $263.03 / $354.81	Professional		$0.60	$263.03	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $346.74	Facility		$194.98	$204.17	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $194.98	Facility		$190.55	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $218.78	Professional		$194.98	$208.93	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $245.47	Professional		$181.97	$194.98	$245.47