Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $89.09 / $136.00	Facility		$20.43	$89.09	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $19.10 / $32.26	Professional		$15.05	$19.10	$32.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $66.39 / $138.16	Facility		$33.33	$66.39	$138.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.78 / $37.63	Professional		$5.00	$14.78	$37.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $39.47 / $118.68	Facility		$26.88	$39.47	$118.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $80.00	Facility		$26.88	$26.88	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $58.70 / $119.27	Facility		$23.37	$58.70	$119.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.04 / $45.56	Professional		$12.84	$17.04	$45.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $127.68 / $127.68	Facility		$50.00	$127.68	$127.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $261.52 / $261.52 / $261.52	Professional		$261.52	$261.52	$261.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $32.28 / $50.26	Facility		$21.52	$32.28	$50.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $26.88 / $33.60	Professional		$25.54	$26.88	$33.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $32.26 / $60.48	Professional		$17.47	$32.26	$60.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $34.94 / $91.57	Facility		$21.47	$34.94	$91.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.43 / $44.84	Professional		$12.88	$25.43	$44.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.55 / $17.23	Professional		$11.29	$11.55	$17.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.92 / $26.88	Professional		$10.75	$13.92	$26.88