Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $79.93 / $208.71	Facility		$32.39	$79.93	$208.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.70 / $51.41	Professional		$23.99	$31.70	$51.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $135.28 / $250.61	Facility		$50.12	$135.28	$250.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $52.69 / $59.98	Professional		$5.00	$52.69	$59.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $64.26 / $167.91	Facility		$42.84	$64.26	$167.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $80.00	Facility		$42.84	$42.84	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $98.44 / $226.32	Facility		$49.07	$98.44	$226.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $31.86 / $94.36	Professional		$24.30	$31.86	$94.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $204.03 / $263.00	Facility		$90.00	$204.03	$263.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $352.23 / $352.23	Professional		$325.62	$352.23	$352.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.31 / $53.82 / $95.48	Facility		$34.31	$53.82	$95.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $42.84 / $53.55	Professional		$40.70	$42.84	$53.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $47.12 / $77.97	Professional		$40.70	$47.12	$77.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $64.59 / $156.52	Facility		$35.15	$64.59	$156.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $42.34 / $83.30	Professional		$24.82	$42.34	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.51 / $31.73	Professional		$17.98	$24.51	$31.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $22.19 / $42.84	Professional		$21.15	$22.19	$42.84