Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $166.16 / $193.43	Professional		$115.86	$166.16	$193.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
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 $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $375.08 / $453.22 / $969.84	Facility		$375.08	$453.22	$969.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.50 / $1,093.50 / $1,689.45	Professional		$1,093.50	$1,093.50	$1,689.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.12 / $176.15 / $220.91	Facility		$136.12	$176.15	$220.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.11 / $175.34 / $209.86	Professional		$166.11	$175.34	$209.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $225.33 / $270.39	Professional		$220.91	$225.33	$270.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $176.15 / $220.91	Facility		$140.21	$176.15	$220.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $175.67	Professional		$86.76	$86.76	$175.67
United Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $111.16 / $129.36	Professional		$75.14	$111.16	$129.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $220.91 / $298.23	Professional		$220.91	$220.91	$298.23