Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $62.49 / $68.41	Professional		$39.01	$62.49	$68.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $45.00 / $60.00	Professional		$22.50	$45.00	$60.00
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 $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $130.55 / $157.75 / $361.86	Facility		$130.55	$157.75	$361.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $391.18 / $391.18 / $568.95	Professional		$391.18	$391.18	$568.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $64.95 / $78.12	Facility		$49.59	$64.95	$78.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $68.27 / $74.20	Professional		$47.81	$68.27	$74.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $78.12 / $93.74	Professional		$75.70	$78.12	$93.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $64.95 / $78.12	Facility		$49.77	$64.95	$78.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $72.20	Professional		$33.32	$33.32	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $42.70 / $49.68	Professional		$28.86	$42.70	$49.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $78.12 / $105.46	Professional		$78.12	$78.12	$105.46