Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $115.44 / $132.69	Professional		$83.40	$115.44	$132.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $124.88 / $151.53	Professional		$83.34	$124.88	$151.53
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 $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.51 / $297.86 / $685.20	Facility		$246.51	$297.86	$685.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $801.07 / $801.07 / $1,251.68	Professional		$801.07	$801.07	$1,251.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $121.63 / $151.53	Facility		$96.53	$121.63	$151.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $133.35 / $133.35	Professional		$53.40	$133.35	$133.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $154.56 / $181.84	Professional		$151.53	$154.56	$181.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $122.67 / $151.53	Facility		$99.73	$122.67	$151.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $133.61	Professional		$60.08	$60.08	$133.61
United Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $76.98 / $89.59	Professional		$52.04	$76.98	$89.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $151.53 / $204.57	Professional		$151.53	$151.53	$204.57