Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $47.09 / $52.91	Professional		$33.02	$47.09	$52.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $44.26 / $51.37	Professional		$22.50	$44.26	$51.37
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 $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.18 / $129.51 / $295.97	Facility		$107.18	$129.51	$295.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $347.90 / $543.60	Professional		$347.90	$347.90	$543.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $50.24 / $60.43	Facility		$38.49	$50.24	$60.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $60.42 / $60.42	Professional		$52.00	$60.42	$60.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $60.43 / $64.91	Professional		$57.41	$60.43	$64.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $50.24 / $60.43	Facility		$38.99	$50.24	$60.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $60.54	Professional		$26.22	$26.22	$60.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $33.59 / $39.09	Professional		$22.71	$33.59	$39.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $60.43 / $81.58	Professional		$60.43	$60.43	$81.58