Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $95.00 / $364.00	Facility		$15.95	$95.00	$364.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $19.52 / $28.30	Professional		$13.64	$19.52	$28.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $60.13 / $117.61	Facility		$24.39	$60.13	$117.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $19.01 / $19.01	Professional		$16.84	$19.01	$19.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $52.25 / $80.17	Facility		$52.25	$52.25	$80.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $27.48	Professional		$24.50	$24.50	$27.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $23.49 / $23.49	Facility		$22.75	$23.49	$23.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $90.00	Facility		$55.00	$70.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $26.87 / $47.11	Professional		$20.12	$26.87	$47.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $122.24 / $125.45	Facility		$90.53	$122.24	$125.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $325.02 / $335.74	Professional		$199.58	$325.02	$335.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $25.30 / $42.72	Facility		$14.85	$25.30	$42.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $30.69 / $42.14	Professional		$20.19	$30.69	$42.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $21.05 / $22.29	Professional		$20.54	$21.05	$22.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $26.55 / $62.16	Facility		$14.95	$26.55	$62.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $27.11 / $46.99	Professional		$20.54	$27.11	$46.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $23.63 / $41.58	Professional		$18.11	$23.63	$41.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $22.90 / $80.00	Professional		$20.14	$22.90	$80.00