Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $49.73 / $61.11	Facility		$21.98	$49.73	$61.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $21.98 / $29.67	Professional		$18.68	$21.98	$29.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $40.36 / $79.64	Facility		$15.77	$40.36	$79.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.17 / $21.17	Professional		$21.17	$21.17	$21.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $11.20 / $18.98	Facility		$0.02	$11.20	$18.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $19.91 / $19.91	Facility		$19.91	$19.91	$19.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $90.00 / $100.00	Facility		$26.58	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $21.98 / $31.43	Facility		$18.00	$21.98	$31.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $38.25	Professional		$18.32	$18.32	$38.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $9.72 / $52.27	Facility		$7.19	$9.72	$52.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $20.65 / $31.43	Facility		$18.82	$20.65	$31.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $24.64 / $24.64	Professional		$19.84	$24.64	$24.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $28.19	Professional		$20.00	$20.00	$28.19