Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $67.01 / $80.47	Professional		$33.85	$67.01	$80.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $66.59 / $88.89	Professional		$49.95	$66.59	$88.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $183.29 / $476.62	Facility		$151.69	$183.29	$476.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $498.74 / $564.45	Professional		$487.04	$498.74	$564.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $68.64 / $80.81	Facility		$49.42	$68.64	$80.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $80.84 / $180.00	Professional		$67.22	$80.84	$180.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $80.81 / $96.97	Professional		$78.31	$80.81	$96.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $68.64 / $80.81	Facility		$51.29	$68.64	$80.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $81.00	Professional		$36.11	$36.11	$81.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $46.28 / $53.86	Professional		$31.29	$46.28	$53.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $80.81 / $109.09	Professional		$80.81	$80.81	$109.09