Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $68.88 / $193.01	Facility		$27.52	$68.88	$193.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $32.50 / $47.17	Professional		$23.59	$32.50	$47.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $95.92 / $203.23	Facility		$51.10	$95.92	$203.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.62 / $55.03	Professional		$5.00	$21.62	$55.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $53.46 / $88.45	Professional		$27.52	$53.46	$88.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $80.00	Facility		$39.31	$39.31	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $89.72 / $173.97	Facility		$31.67	$89.72	$173.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $37.34 / $62.11	Professional		$19.89	$37.34	$62.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.31 / $186.72 / $186.72	Facility		$96.31	$186.72	$186.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $196.55 / $294.83	Professional		$196.55	$196.55	$294.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $39.31 / $62.90	Facility		$24.77	$39.31	$62.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $62.12	Professional		$39.31	$39.31	$62.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $47.17 / $88.45	Professional		$25.55	$47.17	$88.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $47.17 / $142.08	Facility		$27.52	$47.17	$142.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $47.17 / $68.79	Professional		$20.05	$47.17	$68.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $16.51 / $25.16	Professional		$16.51	$16.51	$25.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $39.31 / $53.07	Professional		$15.33	$39.31	$53.07