Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $61.66	Professional		$33.88	$52.48	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $45.71 / $61.66	Professional		$22.39	$45.71	$61.66
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 $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $575.44	Professional		$371.54	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $72.44	Facility		$39.81	$54.95	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $61.66	Professional		$38.02	$52.48	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $30.20	Professional		$26.92	$28.84	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $63.10	Professional		$19.95	$34.67	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $72.44	Facility		$38.90	$53.70	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $42.66	Professional		$24.55	$36.31	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10