Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $2,020.00 / $6,762.00	Facility		$89.85	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $77.18 / $119.35	Professional		$35.11	$77.18	$119.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $77.43 / $299.50	Facility		$47.32	$77.43	$299.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $69.95 / $113.32	Professional		$37.44	$69.95	$113.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $82.91 / $163.04	Professional		$79.76	$82.91	$163.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $32.85 / $80.00	Facility		$32.85	$32.85	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $84.75 / $162.16	Professional		$44.92	$84.75	$162.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $198.17	Facility		$55.00	$55.00	$198.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $628.08 / $741.08	Professional		$335.85	$628.08	$741.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $78.06 / $138.90	Facility		$39.88	$78.06	$138.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $99.79 / $153.13	Professional		$51.30	$99.79	$153.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $77.50 / $77.50	Professional		$77.50	$77.50	$77.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $78.23 / $142.16	Facility		$39.90	$78.23	$142.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $86.45 / $166.32	Professional		$45.55	$86.45	$166.32
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 $60.21 / $86.16 / $131.11	Professional		$60.21	$86.16	$131.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $81.59 / $115.09	Professional		$72.59	$81.59	$115.09