Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $66.20 / $197.25	Facility		$26.67	$66.20	$197.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.97 / $53.79	Professional		$19.64	$25.97	$53.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.66 / $211.24	Facility		$43.33	$112.66	$211.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $31.58 / $47.37	Professional		$24.56	$31.58	$47.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $35.09	Facility		$21.05	$21.05	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $167.46	Facility		$73.45	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $47.37 / $87.97	Facility		$27.37	$47.37	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $48.69	Professional		$35.09	$35.09	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $38.60 / $63.86	Professional		$33.34	$38.60	$63.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $29.03	Professional		$14.74	$20.22	$29.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09