Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $65.70 / $300.00	Facility		$16.57	$65.70	$300.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $14.83 / $69.52 / $307.43	Facility	CQ	$14.83	$69.52	$307.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.56 / $53.20	Professional		$13.00	$20.56	$53.20
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $37.97 / $40.11	Professional	CQ	$15.48	$37.97	$40.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $70.61 / $140.63	Facility		$28.47	$70.61	$140.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $21.68 / $21.68	Professional		$19.21	$21.68	$21.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $66.52 / $102.05	Facility		$27.37	$66.52	$102.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $31.73 / $79.00	Professional		$26.44	$31.73	$79.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $28.15 / $28.15	Facility		$27.16	$28.15	$28.15
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 $18.23 / $33.29 / $102.90	Professional		$18.23	$33.29	$102.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $127.16 / $143.31	Facility		$58.93	$127.16	$143.31
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $108.09 / $121.81	Facility	CQ	$42.50	$108.09	$121.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $171.17 / $228.30	Professional		$29.61	$171.17	$228.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $29.08 / $60.77	Facility		$17.66	$29.08	$60.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $29.39 / $45.00	Professional		$20.69	$29.39	$45.00
Moda Health Facility/Professional Professional Modifier 52 Low / Median / High Price $20.00 / $20.00 / $20.00	Professional	52	$20.00	$20.00	$20.00
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $17.57 / $23.01 / $28.01	Professional	CQ	$17.57	$23.01	$28.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $28.47 / $54.76	Professional		$20.90	$28.47	$54.76
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 $19.13 / $36.45 / $105.33	Professional		$19.13	$36.45	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $24.54 / $31.32	Professional		$21.36	$24.54	$31.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $26.44 / $80.00	Professional		$23.19	$26.44	$80.00