Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $99.92 / $295.20	Facility		$37.65	$99.92	$295.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $49.05 / $97.19	Professional		$31.94	$49.05	$97.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $145.44 / $343.38	Facility		$74.72	$145.44	$343.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $31.37 / $79.86	Professional		$5.00	$31.37	$79.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $77.56 / $128.34	Professional		$39.93	$77.56	$128.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Facility		$57.04	$57.04	$57.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $133.88 / $267.33	Facility		$68.59	$133.88	$267.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.08 / $89.90	Professional		$28.84	$54.08	$89.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $270.94 / $270.94	Facility		$139.75	$270.94	$270.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $427.80	Professional		$285.20	$285.20	$427.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $57.04 / $91.26	Facility		$35.94	$57.04	$91.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $57.04 / $71.30	Professional		$54.19	$57.04	$71.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $68.45 / $128.34	Professional		$37.08	$68.45	$128.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $74.56 / $267.33	Facility		$39.93	$74.56	$267.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $65.59 / $99.82	Professional		$29.08	$65.59	$99.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $36.51	Professional		$23.96	$23.96	$36.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $57.04 / $77.00	Professional		$22.25	$57.04	$77.00