Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $118.72 / $134.13	Facility		$13.81	$118.72	$134.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $49.54 / $74.88	Professional		$16.57	$49.54	$74.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $70.64 / $90.38	Facility		$21.01	$70.64	$90.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $41.04 / $78.56	Professional		$13.39	$41.04	$78.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $94.08 / $131.00	Facility		$86.31	$94.08	$131.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $21.04 / $35.47	Professional		$17.67	$21.04	$35.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $80.93 / $80.93	Facility		$16.14	$80.93	$80.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $56.42	Facility		$28.89	$28.89	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $63.15 / $111.22	Professional		$19.55	$63.15	$111.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $85.74 / $85.74	Facility		$80.22	$85.74	$85.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $145.88 / $652.20	Professional		$115.39	$145.88	$652.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $49.54 / $96.04	Facility		$16.88	$49.54	$96.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $82.54 / $135.07	Professional		$21.43	$82.54	$135.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $173.20 / $173.20	Professional		$136.50	$173.20	$173.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $49.54 / $97.40	Facility		$16.89	$49.54	$97.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $65.43 / $130.30	Professional		$20.25	$65.43	$130.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $72.27 / $114.74	Professional		$54.74	$72.27	$114.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $74.92 / $101.86	Professional		$64.04	$74.92	$101.86