Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $61.32 / $171.85	Facility		$23.45	$61.32	$171.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $26.25 / $42.83	Professional		$19.60	$26.25	$42.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $85.19 / $179.55	Facility		$42.70	$85.19	$179.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.25 / $49.00	Professional		$5.00	$19.25	$49.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $49.00 / $78.75	Professional		$24.50	$49.00	$78.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $80.00	Facility		$35.00	$35.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $82.14 / $194.57	Facility		$47.71	$82.14	$194.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $33.15 / $55.03	Professional		$17.70	$33.15	$55.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $166.25 / $166.25	Facility		$64.41	$166.25	$166.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $262.50	Professional		$175.00	$175.00	$262.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $35.00 / $52.50	Facility		$22.05	$35.00	$52.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $35.00 / $43.75	Professional		$33.25	$35.00	$43.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $42.00 / $78.75	Professional		$22.75	$42.00	$78.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $47.25 / $185.03	Facility		$24.50	$47.25	$185.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $40.25 / $55.03	Professional		$17.85	$40.25	$55.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $24.87	Professional		$14.70	$14.70	$24.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $35.00 / $47.25	Professional		$13.65	$35.00	$47.25