Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $58.73 / $65.72	Professional		$44.28	$58.73	$65.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.83 / $70.59	Professional		$30.00	$38.83	$70.59
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 $32.92 / $32.92 / $32.92	Professional		$32.92	$32.92	$32.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $148.69 / $396.86	Facility		$125.28	$148.69	$396.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $413.57 / $413.57 / $646.20	Professional		$413.57	$413.57	$646.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $59.97 / $70.59	Facility		$44.98	$59.97	$70.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $69.70 / $75.00	Professional		$60.01	$69.70	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.59 / $75.83	Professional		$55.00	$70.59	$75.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $59.97 / $70.59	Facility		$47.16	$59.97	$70.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $69.83	Professional		$32.92	$32.92	$69.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $42.17 / $49.08	Professional		$28.51	$42.17	$49.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $70.59 / $95.31	Professional		$70.59	$70.59	$95.31