Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $108.00 / $364.00	Facility		$22.78	$108.00	$364.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $25.56 / $36.46	Professional		$17.62	$25.56	$36.46
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $342.02 / $342.02 / $342.02	Professional	CQ	$342.02	$342.02	$342.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $97.91 / $194.94	Facility		$39.84	$97.91	$194.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $29.45 / $29.45	Professional		$26.09	$29.45	$29.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $110.37 / $120.00	Facility		$40.70	$110.37	$120.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $40.32 / $80.00	Professional		$35.39	$40.32	$80.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $52.12 / $52.12	Facility		$36.17	$52.12	$52.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $45.03 / $105.33	Professional		$25.05	$45.03	$105.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $195.32 / $195.32	Facility		$82.09	$195.32	$195.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.94 / $233.94 / $309.08	Professional		$233.94	$233.94	$309.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $37.15 / $54.19	Facility		$23.73	$37.15	$54.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $45.69 / $64.00	Professional		$29.53	$45.69	$64.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $38.27 / $73.55	Professional		$28.70	$38.27	$73.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $48.82 / $106.98	Professional		$25.87	$48.82	$106.98
United Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $33.75 / $42.37	Professional		$29.73	$33.75	$42.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.39 / $80.00	Professional		$31.19	$35.39	$80.00