Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $92.21 / $102.23	Professional		$65.76	$92.21	$102.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $92.97 / $252.74	Professional		$92.93	$92.97	$252.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $186.91 / $186.91	Facility		$80.00	$186.91	$186.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $85.37 / $86.97	Facility		$84.00	$85.37	$86.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $493.85 / $511.81	Facility		$179.28	$493.85	$511.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $605.40 / $605.40 / $789.23	Professional		$605.40	$605.40	$789.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $99.18 / $142.11	Facility		$81.06	$99.18	$142.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $95.10 / $95.10	Professional		$95.10	$95.10	$95.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $158.05 / $257.56	Professional		$138.63	$158.05	$257.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $99.06 / $142.11	Facility		$81.59	$99.06	$142.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
United Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $91.33 / $139.12	Professional		$74.92	$91.33	$139.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $170.21 / $229.78	Professional		$89.82	$170.21	$229.78