Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $102.46 / $287.19	Facility		$38.60	$102.46	$287.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $38.60 / $70.19	Professional		$29.25	$38.60	$70.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.89 / $125.75 / $287.19	Facility		$81.89	$125.75	$287.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $31.00 / $81.89	Professional		$5.00	$31.00	$81.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $60.14 / $131.60	Professional		$40.94	$60.14	$131.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $80.00	Facility		$58.49	$58.49	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $116.95 / $249.62	Facility		$35.65	$116.95	$249.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $55.69 / $92.08	Professional		$29.57	$55.69	$92.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.30 / $277.83 / $277.83	Facility		$143.30	$277.83	$277.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $292.45 / $438.68	Professional		$292.45	$292.45	$438.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $58.49 / $93.58	Facility		$36.85	$58.49	$93.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $73.11	Professional		$58.49	$58.49	$73.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.19 / $131.60	Professional		$38.02	$70.19	$131.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $70.19 / $195.94	Facility		$38.02	$70.19	$195.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $67.26 / $102.36	Professional		$29.82	$67.26	$102.36
United Facility/Professional Facility Modifier Low / Median / High Price $24.57 / $58.49 / $70.19	Facility		$24.57	$58.49	$70.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $37.43	Professional		$24.57	$24.57	$37.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $58.49 / $78.95	Professional		$22.81	$58.49	$78.95