Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.59 / $36.20	Professional		$13.82	$16.59	$36.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $27.65 / $62.53	Facility		$20.51	$27.65	$62.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.67 / $32.26	Professional		$5.00	$12.67	$32.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $23.63 / $39.63	Professional		$21.89	$23.63	$39.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Facility		$23.04	$23.04	$23.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $15.83 / $44.73	Professional		$11.78	$15.83	$44.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.30 / $109.44 / $109.44	Facility		$82.30	$109.44	$109.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $166.58 / $172.80	Professional		$166.58	$166.58	$172.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $31.05 / $49.54	Facility		$19.57	$31.05	$49.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.04 / $28.80	Professional		$23.04	$23.04	$28.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $28.80 / $88.24	Professional		$14.98	$28.80	$88.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $31.05 / $50.79	Facility		$19.35	$31.05	$50.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $26.50 / $42.45	Professional		$11.93	$26.50	$42.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.89 / $45.69	Professional		$13.82	$16.89	$45.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $11.93 / $23.04	Professional		$8.99	$11.93	$23.04