Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $549.54	Facility		$41.69	$50.12	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $812.83	Professional		$30.20	$50.12	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $562.34	Professional		$323.59	$446.68	$562.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $645.65	Professional		$309.03	$436.52	$645.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $331.13 / $331.13	Facility		$39.81	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $794.33	Professional		$380.19	$549.54	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $4,365.16	Professional		$2,041.74	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,454.71 / $5,370.32	Facility		$43.65	$2,454.71	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $537.03 / $912.01	Professional		$40.74	$537.03	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $524.81 / $1,047.13	Professional		$128.82	$524.81	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $54.95	Professional		$13.18	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,630.27 / $5,888.44	Facility		$41.69	$2,630.27	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $758.58	Professional		$380.19	$549.54	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11