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 / $35.44 / $54.34	Professional		$28.35	$35.44	$54.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $116.71 / $247.59	Facility		$61.43	$116.71	$247.59
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 / $47.25 / $80.00	Facility		$47.25	$47.25	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $109.30 / $208.50	Facility		$46.07	$109.30	$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 / $417.95 / $417.95	Facility		$115.76	$417.95	$417.95
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 / $79.38	Professional		$47.25	$47.25	$79.38
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 / $199.06	Facility		$33.08	$56.70	$199.06
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 $19.85 / $47.25 / $56.70	Facility		$19.85	$47.25	$56.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $28.35	Professional		$19.85	$19.85	$28.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $24.48 / $47.25	Professional		$18.89	$24.48	$47.25