Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $163.21 / $420.60	Facility		$22.77	$163.21	$420.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $28.05 / $52.78	Professional		$21.26	$28.05	$52.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $197.54 / $336.80	Facility		$79.81	$197.54	$336.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $22.17 / $36.38	Professional		$7.57	$22.17	$36.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $158.49 / $399.64	Facility		$46.42	$158.49	$399.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $32.00 / $47.49	Professional		$29.01	$32.00	$47.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $28.94 / $30.65	Facility		$19.55	$28.94	$30.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $96.25 / $281.97	Facility		$43.22	$96.25	$281.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $31.72 / $58.29	Professional		$22.90	$31.72	$58.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $359.91 / $359.91	Facility		$228.72	$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 $24.99 / $33.22 / $58.56	Facility		$24.99	$33.22	$58.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $50.18 / $121.64	Professional		$35.67	$50.18	$121.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $58.80 / $86.40	Professional		$46.10	$58.80	$86.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $34.40 / $77.39	Facility		$25.64	$34.40	$77.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $36.43 / $79.90	Professional		$23.97	$36.43	$79.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $29.72 / $49.09	Professional		$24.67	$29.72	$49.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $29.01 / $41.26	Professional		$25.95	$29.01	$41.26