Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $82.34 / $230.77	Facility		$32.90	$82.34	$230.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $35.72 / $56.40	Professional		$28.20	$35.72	$56.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $116.09 / $245.81	Facility		$61.10	$116.09	$245.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.85 / $65.80	Professional		$5.00	$25.85	$65.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $63.92 / $105.75	Professional		$32.90	$63.92	$105.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $80.00	Facility		$47.00	$47.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $102.65 / $208.50	Facility		$33.24	$102.65	$208.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $44.75 / $80.17	Professional		$23.90	$44.75	$80.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $225.86 / $225.86	Facility		$115.15	$225.86	$225.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $352.50	Professional		$235.00	$235.00	$352.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $47.00 / $75.20	Facility		$29.61	$47.00	$75.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $70.50	Professional		$47.00	$47.00	$70.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $56.40 / $105.75	Professional		$30.55	$56.40	$105.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $56.40 / $169.50	Facility		$32.90	$56.40	$169.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $56.40 / $82.25	Professional		$23.93	$56.40	$82.25
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $32.31	Professional		$19.73	$19.73	$32.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $47.00 / $63.45	Professional		$18.32	$47.00	$63.45