Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $98.51 / $364.00	Facility		$37.75	$98.51	$364.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $45.96 / $75.67	Professional		$32.97	$45.96	$75.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $79.77 / $254.93	Facility		$49.34	$79.77	$254.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $55.68 / $55.68	Professional		$49.34	$55.68	$55.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $122.51 / $145.07	Facility		$75.43	$122.51	$145.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $74.59 / $113.20	Professional		$60.00	$74.59	$113.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $64.48 / $65.98	Facility		$64.48	$64.48	$65.98
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 $35.50 / $49.75 / $90.26	Professional		$35.50	$49.75	$90.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.53 / $316.37 / $359.43	Facility		$153.53	$316.37	$359.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $437.51 / $570.08	Professional		$73.45	$437.51	$570.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $66.61 / $105.85	Facility		$41.66	$66.61	$105.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $84.50 / $116.10	Professional		$62.05	$84.50	$116.10
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $57.57 / $57.57 / $57.57	Professional	CQ	$57.57	$57.57	$57.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $69.53 / $119.72	Professional		$54.09	$69.53	$119.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $65.36 / $93.58	Facility		$42.53	$65.36	$93.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $50.69 / $92.15	Professional		$35.50	$50.69	$92.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $51.15 / $68.90	Professional		$44.06	$51.15	$68.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $65.59 / $80.00	Professional		$57.69	$65.59	$80.00