Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $82.76 / $251.45	Facility		$41.38	$82.76	$251.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $56.29	Professional		$41.38	$41.38	$56.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $41.38 / $186.21	Facility		$24.83	$41.38	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $41.38 / $41.38	Professional		$24.83	$41.38	$41.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $66.62 / $93.11	Professional		$41.38	$66.62	$93.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $41.38	Facility		$37.24	$37.24	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $29.56 / $103.82	Facility		$26.15	$29.56	$103.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $36.39 / $68.93	Professional		$21.48	$36.39	$68.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $196.56 / $196.56	Facility		$66.20	$196.56	$196.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $206.07 / $310.35	Professional		$73.63	$206.07	$310.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $43.45 / $93.75	Facility		$41.38	$43.45	$93.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $41.38 / $62.07	Professional		$39.31	$41.38	$62.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $262.60 / $387.76 / $590.05	Facility		$262.60	$387.76	$590.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $49.66 / $75.31	Professional		$26.90	$49.66	$75.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $41.38 / $94.68	Facility		$35.17	$41.38	$94.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $43.42 / $68.93	Professional		$21.48	$43.42	$68.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $27.71 / $46.19	Professional		$26.14	$27.71	$46.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $41.38	Professional		$16.55	$16.55	$41.38