Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $1,730.00 / $6,021.00	Facility		$74.66	$1,730.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $54.46 / $97.66	Professional		$19.43	$54.46	$97.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $274.33 / $614.98	Facility		$141.19	$274.33	$614.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $58.59 / $105.22	Professional		$18.41	$58.59	$105.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $201.31 / $261.20	Facility		$127.87	$201.31	$261.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $169.86 / $169.86	Facility		$19.57	$169.86	$169.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $60.66 / $109.39	Professional		$22.98	$60.66	$109.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $149.38	Facility		$55.00	$55.00	$149.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $587.76 / $682.73	Professional		$303.35	$587.76	$682.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $57.65 / $101.11	Facility		$21.06	$57.65	$101.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $78.93 / $142.07	Professional		$26.69	$78.93	$142.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $72.90 / $93.89	Professional		$19.70	$72.90	$93.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $58.66 / $101.68	Facility		$21.06	$58.66	$101.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $59.90 / $119.80	Professional		$23.85	$59.90	$119.80
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $68.47 / $102.32	Professional		$49.26	$68.47	$102.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $75.45 / $105.64	Professional		$67.36	$75.45	$105.64