Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $302.00	Facility		$38.90	$38.90	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $79.43	Professional		$38.90	$48.98	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $602.56	Facility		$52.48	$89.13	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $77.62	Professional		$45.71	$57.54	$77.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $107.15	Professional		$47.86	$66.07	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $436.52	Professional		$371.54	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $114.82	Facility		$43.65	$64.57	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $79.43	Professional		$38.90	$57.54	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $123.03	Professional		$97.72	$109.65	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $120.23	Facility		$43.65	$67.61	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $104.71	Professional		$47.86	$67.61	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $91.20	Professional		$42.66	$57.54	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86