Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $160.49 / $163.58	Facility		$157.41	$160.49	$163.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $163.58 / $263.76	Professional		$148.15	$163.58	$263.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $209.88 / $209.88	Professional		$167.75	$209.88	$209.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $217.85 / $264.35 / $352.47	Professional		$217.85	$264.35	$352.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $352.47 / $352.47 / $352.47	Facility		$352.47	$352.47	$352.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $188.22	Professional		$137.40	$137.40	$188.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $711.56 / $1,633.27 / $1,907.74	Facility		$711.56	$1,633.27	$1,907.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,249.42 / $2,303.42 / $3,012.23	Professional		$2,249.42	$2,303.42	$3,012.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $243.87 / $352.47	Facility		$97.02	$243.87	$352.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $317.22 / $354.32	Professional		$97.02	$317.22	$354.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.47 / $387.72 / $793.06	Professional		$352.47	$387.72	$793.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $235.51 / $352.47	Facility		$97.02	$235.51	$352.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $193.87	Professional		$137.40	$137.40	$193.87
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $178.76 / $215.59	Professional		$125.23	$178.76	$215.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $183.18 / $352.47	Professional		$180.47	$183.18	$352.47