Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $223.87 / $512.86	Facility		$23.99	$223.87	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $54.95	Professional		$20.89	$29.51	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $489.78	Facility		$123.03	$302.00	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $23.99 / $33.88	Professional		$6.92	$23.99	$33.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $46.77	Professional		$26.30	$28.84	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $30.90	Facility		$28.84	$28.84	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $338.84	Facility		$34.67	$104.71	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $63.10	Professional		$22.91	$33.11	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $363.08 / $363.08	Facility		$204.17	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $263.03	Professional		$204.17	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.15 / $69.18	Facility		$25.70	$37.15	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $72.44	Professional		$20.89	$33.88	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $33.11	Professional		$23.44	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $87.10	Professional		$46.77	$69.18	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $79.43	Facility		$26.30	$38.02	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $69.18	Professional		$22.91	$33.88	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $165.96 / $218.78	Facility		$85.11	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $47.86	Professional		$24.55	$28.84	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $36.31	Professional		$29.51	$30.90	$36.31