Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $28.36 / $330.06	Facility		$16.57	$28.36	$330.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $30.35 / $51.53	Professional		$17.32	$30.35	$51.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $173.36 / $389.24	Facility		$78.50	$173.36	$389.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $21.76 / $35.29	Professional		$14.46	$21.76	$35.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $27.50 / $55.18	Professional		$17.19	$27.50	$55.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $80.00	Facility		$15.29	$15.29	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Facility		$31.08	$31.08	$31.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $37.45 / $80.41	Professional		$20.04	$37.45	$80.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $95.33	Facility		$55.00	$55.00	$95.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $288.70 / $326.25	Professional		$156.16	$288.70	$326.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $41.02 / $72.77	Facility		$18.57	$41.02	$72.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $33.38 / $50.80	Professional		$22.71	$33.38	$50.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $28.63 / $53.92	Professional		$16.64	$28.63	$53.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $41.18 / $72.77	Facility		$18.57	$41.18	$72.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $38.02 / $80.28	Professional		$20.04	$38.02	$80.28
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $38.64 / $65.20	Professional		$24.96	$38.64	$65.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $27.59 / $38.65	Professional		$24.29	$27.59	$38.65