Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $182.67 / $410.75	Facility		$21.66	$182.67	$410.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $27.74 / $53.53	Professional		$21.04	$27.74	$53.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.46 / $283.56 / $483.02	Facility		$114.46	$283.56	$483.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $22.17 / $35.86	Professional		$6.91	$22.17	$35.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $191.41 / $412.04	Facility		$46.42	$191.41	$412.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $31.91 / $46.42	Professional		$27.32	$31.91	$46.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $28.96 / $30.82	Facility		$28.94	$28.96	$30.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $104.92 / $374.98	Facility		$42.45	$104.92	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $32.04 / $58.82	Professional		$22.79	$32.04	$58.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $359.91 / $359.91	Facility		$66.52	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $204.50 / $264.38	Professional		$204.50	$204.50	$264.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $33.11 / $54.16	Facility		$25.10	$33.11	$54.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $50.18 / $72.34	Professional		$38.01	$50.18	$72.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $62.90 / $86.40	Professional		$40.14	$62.90	$86.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $34.32 / $77.39	Facility		$25.44	$34.32	$77.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $36.53 / $79.90	Professional		$23.68	$36.53	$79.90
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $166.72 / $250.18	Facility		$108.97	$166.72	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $29.15 / $47.17	Professional		$24.49	$29.15	$47.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $29.01 / $41.26	Professional		$25.95	$29.01	$41.26