Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $71.98 / $112.91	Professional		$43.04	$71.98	$112.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $186.38	Facility		$50.56	$50.56	$186.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $79.77 / $135.50	Professional		$45.24	$79.77	$135.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $101.79 / $130.00	Professional		$40.00	$101.79	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $92.54 / $153.68	Professional		$53.72	$92.54	$153.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $278.07 / $278.07	Facility		$255.86	$278.07	$278.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.27 / $736.17 / $815.78	Professional		$368.27	$736.17	$815.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $88.66 / $147.38	Facility		$53.96	$88.66	$147.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $101.52 / $146.50	Professional		$60.14	$101.52	$146.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $60.00 / $98.74	Professional		$53.72	$60.00	$98.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $87.89 / $147.26	Facility		$53.72	$87.89	$147.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $93.25 / $161.72	Professional		$54.89	$93.25	$161.72
United Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $87.74 / $124.20	Professional		$69.12	$87.74	$124.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $92.54 / $130.02	Professional		$81.72	$92.54	$130.02