Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $48.09 / $199.50	Facility		$16.61	$48.09	$199.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $18.48 / $26.81	Professional		$15.11	$18.48	$26.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $388.17 / $741.89	Facility		$126.28	$388.17	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $92.75 / $215.41	Facility		$25.33	$92.75	$215.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $45.08 / $111.72	Facility		$8.32	$45.08	$111.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $13.62 / $31.19	Professional		$7.92	$13.62	$31.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $118.24 / $118.24	Facility		$35.97	$118.24	$118.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $162.76 / $162.76	Professional		$162.76	$162.76	$162.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $20.94 / $33.56	Facility		$15.39	$20.94	$33.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $17.12	Professional		$14.40	$14.40	$17.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $75.20	Professional		$25.50	$25.50	$75.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $21.89 / $45.68	Facility		$15.37	$21.89	$45.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $13.62 / $34.24	Professional		$7.92	$13.62	$34.24
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $11.22 / $16.03	Professional		$6.88	$11.22	$16.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $14.93 / $20.16	Professional		$10.80	$14.93	$20.16