Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $54.95	Professional		$30.20	$46.77	$54.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.66 / $58.88	Professional		$22.39	$42.66	$58.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $512.86	Professional		$338.84	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $51.29 / $64.57	Facility		$38.02	$51.29	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $54.95	Professional		$38.02	$48.98	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $30.20	Professional		$28.18	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $64.57	Professional		$19.95	$34.67	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50.12 / $64.57	Facility		$38.02	$50.12	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $38.90	Professional		$22.39	$33.11	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57