Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $18.29 / $314.22	Facility		$15.12	$18.29	$314.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $18.29 / $24.38	Professional		$12.12	$18.29	$24.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $31.25 / $76.39	Facility		$21.07	$31.25	$76.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Professional		$20.88	$20.88	$20.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $32.63	Facility		$16.73	$16.73	$32.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $130.99 / $132.24	Facility		$56.52	$130.99	$132.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $208.80	Professional		$138.63	$138.63	$208.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $21.91 / $34.72	Facility		$18.53	$21.91	$34.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $26.45 / $27.84	Professional		$23.54	$26.45	$27.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $32.02 / $54.90	Professional		$20.80	$32.02	$54.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $21.91 / $34.86	Facility		$18.53	$21.91	$34.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $23.15	Professional		$14.22	$14.22	$23.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $12.84 / $16.93	Professional		$9.84	$12.84	$16.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $27.84 / $37.58	Professional		$12.35	$27.84	$37.58