Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $39.31 / $114.83	Facility		$15.92	$39.31	$114.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $15.32 / $25.28	Professional		$11.80	$15.32	$25.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $69.53 / $121.97	Facility		$26.13	$69.53	$121.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.17 / $18.75	Professional		$5.00	$11.17	$18.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $19.98 / $31.61	Professional		$14.75	$19.98	$31.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $24.28	Facility		$21.07	$21.07	$24.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $46.31 / $107.08	Facility		$14.72	$46.31	$107.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $15.34 / $35.56	Professional		$11.17	$15.34	$35.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $100.26 / $196.00	Facility		$60.57	$100.26	$196.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $21.07 / $27.39	Facility		$16.01	$21.07	$27.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $21.07 / $26.08	Professional		$19.87	$21.07	$26.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.37 / $198.61 / $289.82	Facility		$147.37	$198.61	$289.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $21.07 / $52.50	Facility		$16.64	$21.07	$52.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $16.20 / $30.44	Professional		$11.17	$16.20	$30.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.07 / $15.52	Professional		$8.85	$12.07	$15.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $10.40 / $21.07	Professional		$8.22	$10.40	$21.07