Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $218.78	Professional		$114.82	$181.97	$218.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $169.82	Professional		$77.62	$85.11	$169.82
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 $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $2,187.76	Professional		$1,380.38	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $245.47	Facility		$147.91	$194.98	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $218.78	Professional		$144.54	$190.55	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $109.65	Professional		$102.33	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $251.19	Facility		$144.54	$190.55	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $154.88	Professional		$91.20	$134.90	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42