Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $82.18 / $275.00	Facility		$30.73	$82.18	$275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $31.27 / $48.40	Professional		$21.67	$31.27	$48.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $117.73 / $236.93	Facility		$48.16	$117.73	$236.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $38.82 / $38.82	Professional		$34.39	$38.82	$38.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $97.59 / $120.00	Facility		$64.67	$97.59	$120.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $55.36 / $76.83	Professional		$46.28	$55.36	$76.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $44.97 / $44.97	Facility		$44.80	$44.97	$44.97
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 $25.41 / $47.45 / $105.33	Professional		$25.41	$47.45	$105.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $214.95 / $248.05	Facility		$100.72	$214.95	$248.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $309.81 / $390.60	Professional		$309.81	$309.81	$390.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $44.02 / $66.25	Facility		$30.32	$44.02	$66.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $59.71 / $73.95	Professional		$42.00	$59.71	$73.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $46.27 / $55.66	Professional		$41.42	$46.27	$55.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $44.83 / $69.17	Facility		$30.41	$44.83	$69.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $51.71 / $108.10	Professional		$27.37	$51.71	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $40.42 / $48.60	Professional		$29.75	$40.42	$48.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $44.29 / $80.00	Professional		$39.20	$44.29	$80.00