Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $96.71 / $111.16	Professional		$68.26	$96.71	$111.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $82.64 / $88.00	Professional		$45.00	$82.64	$88.00
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 $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $250.52 / $681.58	Facility		$207.33	$250.52	$681.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $714.58 / $714.58 / $995.33	Professional		$714.58	$714.58	$995.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $103.37 / $126.95	Facility		$79.90	$103.37	$126.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $120.96 / $120.96	Professional		$107.91	$120.96	$120.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $126.95 / $152.34	Professional		$123.02	$126.95	$152.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $103.37 / $126.95	Facility		$80.59	$103.37	$126.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $71.75	Professional		$51.66	$51.66	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $66.19 / $77.03	Professional		$44.75	$66.19	$77.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $126.95 / $171.38	Professional		$126.95	$126.95	$171.38