Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $2,107.00 / $6,762.00	Facility		$91.81	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $72.18 / $103.18	Professional		$40.15	$72.18	$103.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $59.00 / $245.25	Facility		$40.95	$59.00	$245.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $67.89 / $108.99	Professional		$38.06	$67.89	$108.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $149.99 / $149.99	Professional		$149.99	$149.99	$149.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $48.65 / $48.65	Facility		$36.74	$48.65	$48.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $68.70 / $68.70	Facility		$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $80.63 / $138.49	Professional		$46.52	$80.63	$138.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.73 / $9,102.00 / $11,500.00	Facility		$204.73	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $1,375.00 / $1,375.00	Professional		$385.92	$1,375.00	$1,375.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $79.11 / $144.01	Facility		$41.53	$79.11	$144.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $80.77 / $128.50	Professional		$52.14	$80.77	$128.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $196.40 / $196.40	Professional		$196.40	$196.40	$196.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $80.02 / $149.74	Facility		$41.53	$80.02	$149.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $83.94 / $139.93	Professional		$47.32	$83.94	$139.93
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,667.00	Facility		$161.00	$1,058.00	$2,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $79.59 / $123.93	Professional		$58.32	$79.59	$123.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $70.62 / $99.50	Professional		$62.67	$70.62	$99.50