Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $90.14 / $252.62	Facility		$36.02	$90.14	$252.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $36.02 / $61.74	Professional		$30.87	$36.02	$61.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $125.91 / $267.02	Facility		$66.89	$125.91	$267.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $28.30 / $72.03	Professional		$5.00	$28.30	$72.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $69.97 / $115.76	Professional		$36.02	$69.97	$115.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $80.00	Facility		$51.45	$51.45	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $120.74 / $229.48	Facility		$53.60	$120.74	$229.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $48.93 / $87.83	Professional		$26.05	$48.93	$87.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $412.15 / $412.15	Facility		$126.05	$412.15	$412.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $257.25 / $385.88	Professional		$257.25	$257.25	$385.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $51.45 / $82.32	Facility		$32.40	$51.45	$82.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $86.44	Professional		$51.45	$51.45	$86.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $61.74 / $115.76	Professional		$33.44	$61.74	$115.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $63.07 / $217.76	Facility		$36.02	$63.07	$217.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $61.74 / $93.75	Professional		$26.32	$61.74	$93.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $32.93	Professional		$21.61	$21.61	$32.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $51.45 / $69.45	Professional		$20.07	$51.45	$69.45