Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $945.00 / $5,404.00	Facility		$43.29	$945.00	$5,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $35.85 / $67.30	Professional		$18.71	$35.85	$67.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.44 / $46.44 / $46.44	Professional	50	$46.44	$46.44	$46.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $85.27 / $195.79	Facility		$48.00	$85.27	$195.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $35.34 / $56.23	Professional		$20.94	$35.34	$56.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $69.73 / $108.81	Facility		$55.78	$69.73	$108.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $52.86 / $52.86	Facility		$21.22	$52.86	$52.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $44.21 / $70.64	Professional		$24.76	$44.21	$70.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $114.52	Facility		$55.00	$55.00	$114.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $328.48 / $373.43	Professional		$175.76	$328.48	$373.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $41.59 / $62.16	Facility		$22.70	$41.59	$62.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $45.94 / $78.61	Professional		$28.71	$45.94	$78.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $118.59 / $363.00	Facility		$118.59	$118.59	$363.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $45.80 / $100.58	Professional		$23.47	$45.80	$100.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $40.42 / $63.32	Facility		$22.70	$40.42	$63.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.30 / $77.15	Professional		$25.70	$45.30	$77.15
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 $34.92 / $46.49 / $67.64	Professional		$34.92	$46.49	$67.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $42.21 / $59.09	Professional		$37.27	$42.21	$59.09