Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $52.04 / $60.42	Professional		$37.82	$52.04	$60.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $45.00 / $47.50	Professional		$22.50	$45.00	$47.50
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 $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $161.06 / $340.43	Facility		$133.29	$161.06	$340.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.02 / $368.02 / $575.03	Professional		$368.02	$368.02	$575.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $52.44 / $61.28	Facility		$39.43	$52.44	$61.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $62.73 / $62.73	Professional		$52.00	$62.73	$62.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $61.28 / $65.81	Professional		$58.22	$61.28	$65.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $52.11 / $61.28	Facility		$40.95	$52.11	$61.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $62.85	Professional		$28.56	$28.56	$62.85
United Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $36.60 / $42.59	Professional		$24.74	$36.60	$42.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $61.28 / $82.73	Professional		$61.28	$61.28	$82.73