Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $38.74 / $181.06	Facility		$16.00	$38.74	$181.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.83 / $32.95	Professional		$16.00	$22.83	$32.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $88.49 / $176.26	Facility		$35.68	$88.49	$176.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $27.04 / $27.04	Professional		$23.96	$27.04	$27.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $76.17 / $113.01	Facility		$37.11	$76.17	$113.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $40.35 / $80.00	Professional		$32.28	$40.35	$80.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $50.70 / $50.70	Facility		$32.93	$50.70	$50.70
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 $20.58 / $32.68 / $92.55	Professional		$20.58	$32.68	$92.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $155.94 / $177.65	Facility		$80.00	$155.94	$177.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $212.29 / $281.55	Professional		$212.29	$212.29	$281.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $33.53 / $49.73	Facility		$21.59	$33.53	$49.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $43.32 / $64.00	Professional		$26.13	$43.32	$64.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $34.79 / $59.68	Professional		$27.85	$34.79	$59.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $33.71 / $60.00	Facility		$21.59	$33.71	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $33.53 / $99.29	Professional		$21.49	$33.53	$99.29
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.94 / $36.45	Professional		$25.70	$29.94	$36.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $32.28 / $80.00	Professional		$28.44	$32.28	$80.00