Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $143.01 / $380.21	Facility		$69.66	$143.01	$380.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.05 / $78.37	Professional		$39.81	$58.05	$78.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $98.80 / $197.60	Facility		$39.52	$98.80	$197.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $43.53 / $43.53	Professional		$43.53	$43.53	$43.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.32 / $89.35 / $200.28	Facility		$34.32	$89.35	$200.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $50.68 / $57.56	Professional		$50.68	$50.68	$57.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $46.27 / $46.27	Facility		$46.27	$46.27	$46.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.60 / $54.60	Facility		$37.56	$54.60	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $170.54 / $170.54	Facility		$51.97	$170.54	$170.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $55.66 / $73.23	Professional		$49.80	$55.66	$73.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $141.68 / $397.28	Facility		$54.81	$141.68	$397.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $39.81 / $97.75	Professional		$33.96	$39.81	$97.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $879.00 / $1,418.00	Facility		$665.00	$879.00	$1,418.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.60 / $58.05	Facility		$37.56	$54.60	$58.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.60 / $54.60	Professional		$39.81	$54.60	$54.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $57.88 / $57.88	Professional		$46.60	$57.88	$57.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $48.34 / $53.74	Professional		$39.71	$48.34	$53.74