Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.32 / $150.21 / $153.10	Facility		$147.32	$150.21	$153.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $153.10 / $242.45	Professional		$138.65	$153.10	$242.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $196.42 / $196.42	Professional		$157.00	$196.42	$196.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $200.00 / $329.88	Professional		$197.93	$200.00	$329.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $329.88 / $329.88 / $329.88	Facility		$329.88	$329.88	$329.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $586.16 / $1,530.87 / $1,766.81	Facility		$586.16	$1,530.87	$1,766.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.10 / $1,897.56 / $2,548.05	Professional		$1,853.10	$1,897.56	$2,548.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $228.24 / $329.88	Facility		$89.85	$228.24	$329.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $294.68 / $329.88	Professional		$89.85	$294.68	$329.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.88 / $362.87 / $742.23	Professional		$329.88	$362.87	$742.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $220.41 / $329.88	Facility		$89.85	$220.41	$329.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $185.83	Professional		$127.25	$127.25	$185.83
United Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $167.72 / $199.66	Professional		$115.98	$167.72	$199.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $169.99 / $329.88	Professional		$167.19	$169.99	$329.88