Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Facility		$67.45	$67.45	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $143.35	Professional		$44.98	$44.98	$143.35
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 $133.32 / $133.32 / $133.32	Professional		$133.32	$133.32	$133.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $145.00 / $228.80	Professional		$137.00	$145.00	$228.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $3,349.86 / $3,349.86	Facility		$29.23	$3,349.86	$3,349.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.69 / $253.69 / $253.69	Professional		$253.69	$253.69	$253.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $165.97 / $165.97	Facility		$165.97	$165.97	$165.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $44.98 / $44.98	Facility		$44.98	$44.98	$44.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $413.73 / $2,500.56	Professional		$22.59	$413.73	$2,500.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,569.55 / $5,569.55 / $5,569.55	Facility		$5,569.55	$5,569.55	$5,569.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $44.98 / $44.98	Facility		$44.98	$44.98	$44.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.69 / $253.69 / $253.69	Professional		$253.69	$253.69	$253.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $22.43 / $38.54	Professional		$17.87	$22.43	$38.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99