Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.08 / $82.78 / $232.00	Facility		$33.08	$82.78	$232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $35.75 / $56.70	Professional		$28.35	$35.75	$56.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $115.29 / $243.81	Facility		$61.90	$115.29	$243.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.99 / $66.15	Professional		$5.00	$25.99	$66.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $64.26 / $106.31	Professional		$33.08	$64.26	$106.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $192.84 / $192.84	Facility		$47.25	$192.84	$192.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.69 / $107.68 / $208.50	Facility		$39.69	$107.68	$208.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $44.75 / $80.76	Professional		$23.90	$44.75	$80.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $276.58 / $276.58	Facility		$115.76	$276.58	$276.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $236.25 / $354.38	Professional		$236.25	$236.25	$354.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $47.25 / $75.59	Facility		$29.77	$47.25	$75.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $70.88	Professional		$47.25	$47.25	$70.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $56.70 / $106.31	Professional		$30.71	$56.70	$106.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.08 / $56.70 / $172.59	Facility		$33.08	$56.70	$172.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $56.70 / $86.20	Professional		$24.11	$56.70	$86.20
United Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $19.85 / $47.25	Facility		$17.01	$19.85	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $33.74	Professional		$19.85	$19.85	$33.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $47.25 / $63.79	Professional		$18.43	$47.25	$63.79