Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $62.24 / $332.47	Facility		$46.79	$62.24	$332.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $46.80 / $60.40	Professional		$40.72	$46.80	$60.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $95.53 / $191.05	Facility		$38.21	$95.53	$191.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $38.19 / $38.19	Professional		$38.19	$38.19	$38.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $60.10 / $179.18	Facility		$21.17	$60.10	$179.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $36.18 / $36.18	Facility		$36.18	$36.18	$36.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Facility		$43.83	$43.83	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.14 / $100.00 / $169.24	Facility		$44.14	$100.00	$169.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $42.02 / $55.29	Professional		$37.60	$42.02	$55.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $46.46 / $66.92	Facility		$28.82	$46.46	$66.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $35.42	Professional		$26.29	$26.29	$35.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.72 / $2.25	Facility		$1.25	$1.72	$2.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $43.83 / $66.92	Facility		$30.98	$43.83	$66.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $43.83 / $43.83	Professional		$37.36	$43.83	$43.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $46.68 / $46.68	Professional		$37.58	$46.68	$46.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $38.49 / $51.96	Professional		$38.49	$38.49	$51.96