Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $200.86 / $247.61	Professional		$141.31	$200.86	$247.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $130.00 / $282.77	Professional		$86.00	$130.00	$282.77
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 $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.44 / $510.65 / $1,343.21	Facility		$422.44	$510.65	$1,343.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.29 / $1,653.03 / $2,120.85	Professional		$1,614.29	$1,653.03	$2,120.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.06 / $223.23 / $282.77	Facility		$170.06	$223.23	$282.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $201.48 / $268.64	Professional		$190.87	$201.48	$268.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.64 / $282.77 / $339.34	Professional		$268.64	$282.77	$339.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.06 / $226.98 / $282.77	Facility		$170.06	$226.98	$282.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $201.87	Professional		$101.80	$101.80	$201.87
United Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $130.43 / $151.79	Professional		$88.18	$130.43	$151.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $282.77 / $381.75	Professional		$282.77	$282.77	$381.75