Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $83.18	Professional		$40.74	$72.44	$83.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $97.72	Professional		$22.39	$30.20	$97.72
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 $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $741.31	Professional		$478.63	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $97.72	Facility		$56.23	$77.62	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $83.18	Professional		$52.48	$74.13	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $45.71	Professional		$41.69	$45.71	$45.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $97.72	Professional		$19.95	$34.67	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $97.72	Facility		$56.23	$77.62	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $53.70	Professional		$30.20	$46.77	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72