Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $43.45 / $50.52	Professional		$20.20	$43.45	$50.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $47.31 / $57.70	Professional		$31.74	$47.31	$57.70
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 $22.57 / $22.57 / $22.57	Professional		$22.57	$22.57	$22.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $113.27 / $250.76	Facility		$100.00	$113.27	$250.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $312.20 / $470.18	Professional		$312.20	$312.20	$470.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $45.99 / $57.70	Facility		$35.70	$45.99	$57.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $51.07 / $54.23	Professional		$35.31	$51.07	$54.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $57.70 / $61.97	Professional		$54.81	$57.70	$61.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $46.07 / $57.70	Facility		$36.60	$46.07	$57.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $51.17	Professional		$22.57	$22.57	$51.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $28.91 / $33.65	Professional		$19.55	$28.91	$33.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $57.70 / $77.90	Professional		$57.70	$57.70	$77.90