Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $64.57 / $177.83	Facility		$22.39	$64.57	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $37.15	Professional		$19.05	$25.12	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $66.07 / $123.03	Facility		$25.12	$66.07	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $34.67 / $102.33	Facility		$14.79	$34.67	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $58.88 / $144.54	Facility		$18.20	$58.88	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $41.69	Professional		$10.96	$18.20	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $54.95	Facility		$12.59	$28.84	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $38.02	Professional		$19.05	$25.12	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.84 / $58.88	Facility		$10.00	$28.84	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $45.71	Professional		$10.96	$18.20	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $60.26	Facility		$19.50	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $21.88	Professional		$9.77	$15.14	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $14.79 / $18.62	Professional		$5.50	$14.79	$18.62