Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $2,080.00 / $7,316.00	Facility		$131.91	$2,080.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $60.07 / $113.90	Professional		$25.13	$60.07	$113.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $84.83 / $355.57	Facility		$45.24	$84.83	$355.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $69.90 / $114.59	Professional		$25.86	$69.90	$114.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $191.09 / $261.20	Facility		$101.95	$191.09	$261.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $171.44 / $171.44	Facility		$25.21	$171.44	$171.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $69.93 / $120.84	Professional		$29.86	$69.93	$120.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $162.55	Facility		$55.00	$55.00	$162.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $643.20 / $741.30	Professional		$373.00	$643.20	$741.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $69.78 / $112.53	Facility		$27.53	$69.78	$112.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $54.34 / $154.87	Professional		$33.96	$54.34	$154.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $79.79 / $102.56	Professional		$25.39	$79.79	$102.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $70.08 / $113.30	Facility		$27.53	$70.08	$113.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $69.97 / $131.52	Professional		$31.20	$69.97	$131.52
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 $57.03 / $79.84 / $116.72	Professional		$57.03	$79.84	$116.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $82.45 / $115.43	Professional		$73.43	$82.45	$115.43