Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $79.43 / $208.93	Facility		$32.36	$79.43	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $61.66	Professional		$25.12	$34.67	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $138.04 / $245.47	Facility		$52.48	$138.04	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $38.02 / $58.88	Professional		$5.01	$38.02	$58.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $173.78	Facility		$39.81	$61.66	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $79.43	Facility		$42.66	$42.66	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $223.87	Facility		$47.86	$95.50	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $93.33	Professional		$24.55	$33.11	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Facility		$204.17	$204.17	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $354.81	Professional		$323.59	$323.59	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $112.20	Facility		$32.36	$48.98	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $33.88 / $53.70	Professional		$7.94	$33.88	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $43.65	Professional		$36.31	$36.31	$43.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $91.20	Professional		$41.69	$46.77	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $141.25	Facility		$33.88	$64.57	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $89.13	Professional		$24.55	$39.81	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $42.66	Facility		$15.49	$17.78	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $36.31	Professional		$17.78	$25.12	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $42.66	Professional		$16.60	$36.31	$42.66