Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $45.06 / $111.24	Facility		$17.20	$45.06	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $16.84 / $31.24	Professional		$13.65	$16.84	$31.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $71.89 / $121.26	Facility		$27.96	$71.89	$121.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.51 / $31.85	Professional		$5.00	$12.51	$31.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $34.13 / $118.68	Facility		$22.75	$34.13	$118.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $22.75 / $80.00	Facility		$22.75	$22.75	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $49.69 / $115.34	Facility		$22.97	$49.69	$115.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $14.92 / $44.18	Professional		$11.65	$14.92	$44.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $108.06 / $108.06	Facility		$50.00	$108.06	$108.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $176.00 / $176.00	Professional		$170.63	$176.00	$176.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $29.92 / $50.44	Facility		$17.75	$29.92	$50.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $28.44	Professional		$22.75	$22.75	$28.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.30 / $51.19	Professional		$14.79	$27.30	$51.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $32.45 / $83.12	Facility		$18.43	$32.45	$83.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $21.57 / $41.52	Professional		$12.06	$21.57	$41.52
United Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $9.56 / $22.75	Facility		$8.19	$9.56	$22.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $11.77 / $17.04	Professional		$9.56	$11.77	$17.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.78 / $22.75	Professional		$9.90	$11.78	$22.75