Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.82 / $26.13	Professional		$16.22	$19.82	$26.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $20.63 / $35.34	Facility		$12.26	$20.63	$35.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $15.42 / $17.39	Professional		$13.05	$15.42	$17.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $25.61 / $35.22	Professional		$21.10	$25.61	$35.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $17.57 / $20.67	Facility		$14.93	$17.57	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $20.23 / $25.40	Facility		$18.17	$20.23	$25.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $22.81 / $35.44	Professional		$15.91	$22.81	$35.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $93.77 / $93.77	Facility		$84.75	$93.77	$93.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $139.44 / $176.48	Professional		$117.74	$139.44	$176.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $20.05 / $29.32	Facility		$14.83	$20.05	$29.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $25.35 / $33.68	Professional		$20.28	$25.35	$33.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $26.27 / $48.62	Professional		$16.77	$26.27	$48.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $20.10 / $29.32	Facility		$14.87	$20.10	$29.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.48 / $40.99	Professional		$16.60	$23.48	$40.99
United Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $19.18 / $28.78	Professional		$15.02	$19.18	$28.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $20.49 / $28.59	Professional		$17.95	$20.49	$28.59