Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $188.92 / $216.49	Professional		$98.27	$188.92	$216.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $173.80 / $192.68	Professional		$127.50	$173.80	$192.68
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 $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $488.16 / $589.86 / $1,154.65	Facility		$488.16	$589.86	$1,154.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.74 / $1,394.74 / $2,179.28	Professional		$1,394.74	$1,394.74	$2,179.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $192.68 / $231.73	Facility		$149.44	$192.68	$231.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $196.13 / $207.02	Professional		$42.60	$196.13	$207.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $236.36 / $348.68	Professional		$231.73	$236.36	$348.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $192.68 / $231.73	Facility		$154.83	$192.68	$231.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $207.43	Professional		$104.60	$104.60	$207.43
United Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $134.03 / $155.97	Professional		$90.60	$134.03	$155.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $231.73 / $312.83	Professional		$231.73	$231.73	$312.83