Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $65.28 / $65.28	Facility		$65.28	$65.28	$65.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.27 / $7.83	Professional		$5.55	$7.27	$7.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.33 / $11.00	Professional		$7.33	$7.33	$11.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $6.50 / $76.50	Facility		$5.55	$6.50	$76.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $1,054.00 / $16,141.00	Facility		$1,054.00	$1,054.00	$16,141.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $5.55 / $7.83	Facility		$5.55	$5.55	$7.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.88 / $12.48	Professional		$5.96	$7.88	$12.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.35	Professional		$7.35	$7.35	$7.35