Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $61.20 / $68.59	Professional		$45.75	$61.20	$68.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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 $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $146.12 / $437.19	Facility		$134.38	$146.12	$437.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.79 / $441.79 / $667.13	Professional		$441.79	$441.79	$667.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $65.14 / $78.34	Facility		$49.91	$65.14	$78.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $68.38 / $75.00	Professional		$64.78	$68.38	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.34 / $84.16	Professional		$55.00	$78.34	$84.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $65.14 / $78.34	Facility		$50.01	$65.14	$78.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $68.51	Professional		$34.54	$34.54	$68.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $44.26 / $51.51	Professional		$29.93	$44.26	$51.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $105.77	Professional		$78.34	$78.34	$105.77