Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $39.40 / $252.40	Facility		$17.86	$39.40	$252.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $39.40 / $60.77	Professional		$21.57	$39.40	$60.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $91.93 / $171.01	Facility		$40.11	$91.93	$171.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $39.56 / $70.02	Professional		$20.49	$39.56	$70.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $34.26 / $56.68	Professional		$23.79	$34.26	$56.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $21.41 / $53.34	Facility		$20.21	$21.41	$53.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $52.21 / $86.92	Professional		$24.82	$52.21	$86.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $111.20 / $111.20	Facility		$102.96	$111.20	$111.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $326.08 / $444.38	Professional		$199.07	$326.08	$444.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $46.81 / $74.97	Facility		$22.21	$46.81	$74.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $53.31 / $92.37	Professional		$27.50	$53.31	$92.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $48.28 / $82.00	Professional		$20.49	$48.28	$82.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $47.22 / $77.73	Facility		$22.21	$47.22	$77.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $56.25 / $104.51	Professional		$25.96	$56.25	$104.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $54.19 / $85.40	Professional		$39.20	$54.19	$85.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $49.75 / $70.27	Professional		$44.17	$49.75	$70.27