Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $73.50 / $260.82	Facility		$19.84	$73.50	$260.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $26.98 / $37.61	Professional		$15.64	$26.98	$37.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.54 / $169.00 / $370.70	Facility		$94.54	$169.00	$370.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $21.95 / $36.40	Professional		$11.78	$21.95	$36.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $16.11 / $16.11	Facility		$16.11	$16.11	$16.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $75.59 / $75.59	Facility		$12.92	$75.59	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.36 / $105.36 / $111.54	Facility		$105.36	$105.36	$111.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $30.44 / $51.59	Professional		$17.19	$30.44	$51.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $66.59 / $71.68	Facility		$55.00	$66.59	$71.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $199.84 / $226.50	Professional		$138.00	$199.84	$226.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $24.56 / $45.86	Facility		$13.76	$24.56	$45.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $23.87 / $40.58	Professional		$15.94	$23.87	$40.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $38.70 / $38.70	Professional		$38.70	$38.70	$38.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $24.54 / $45.77	Facility		$13.76	$24.54	$45.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $32.28 / $53.16	Professional		$17.19	$32.28	$53.16
United Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $950.00 / $5,689.00	Facility		$153.00	$950.00	$5,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $31.98 / $53.47	Professional		$24.17	$31.98	$53.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.63 / $36.00	Professional		$22.63	$25.63	$36.00