Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $39.36 / $45.24	Professional		$20.53	$39.36	$45.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $42.37 / $56.84	Professional		$28.42	$42.37	$56.84
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 $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $238.45	Facility		$100.00	$100.00	$238.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $289.33 / $452.10	Professional		$289.33	$289.33	$452.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $42.91 / $51.67	Facility		$32.90	$42.91	$51.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $49.92 / $52.00	Professional		$42.98	$49.92	$52.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $51.67 / $55.49	Professional		$49.09	$51.67	$55.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $42.91 / $51.67	Facility		$32.90	$42.91	$51.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $50.02	Professional		$21.70	$21.70	$50.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $27.80 / $32.35	Professional		$18.80	$27.80	$32.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $51.67 / $69.75	Professional		$51.67	$51.67	$69.75