Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $64.15 / $189.52	Facility		$25.63	$64.15	$189.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $31.49 / $43.94	Professional		$21.97	$31.49	$43.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $91.55 / $191.91	Facility		$47.97	$91.55	$191.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.14 / $51.27	Professional		$5.00	$20.14	$51.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $54.93 / $188.52	Facility		$34.99	$54.93	$188.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $49.80 / $82.40	Professional		$25.63	$49.80	$82.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $36.25 / $36.61	Facility		$36.25	$36.25	$36.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $80.03 / $162.00	Facility		$27.38	$80.03	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $34.77 / $57.75	Professional		$18.59	$34.77	$57.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $173.95 / $173.95	Facility		$89.72	$173.95	$173.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $183.10 / $274.64	Professional		$183.10	$183.10	$274.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $36.61 / $58.59	Facility		$23.07	$36.61	$58.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $49.98	Professional		$36.61	$36.61	$49.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $43.94 / $82.39	Professional		$23.80	$43.94	$82.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $43.94 / $122.68	Facility		$25.63	$43.94	$122.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $42.80 / $64.09	Professional		$18.59	$42.80	$64.09
United Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $36.61 / $43.94	Facility		$15.38	$36.61	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $21.97	Professional		$15.38	$15.38	$21.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $36.61 / $49.44	Professional		$14.28	$36.61	$49.44