Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $65.11 / $78.02	Professional		$40.25	$65.11	$78.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $41.00 / $89.10	Professional		$22.50	$41.00	$89.10
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 $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $178.09 / $360.76	Facility		$147.38	$178.09	$360.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.05 / $441.05 / $668.25	Professional		$441.05	$441.05	$668.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $70.33 / $89.10	Facility		$53.58	$70.33	$89.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $64.43 / $75.73	Professional		$52.00	$64.43	$75.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $89.10 / $95.71	Professional		$84.64	$89.10	$95.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $70.98 / $89.10	Facility		$53.58	$70.98	$89.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $64.55	Professional		$32.08	$32.08	$64.55
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $41.09 / $47.83	Professional		$27.79	$41.09	$47.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $89.10 / $120.29	Professional		$89.10	$89.10	$120.29