Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $26.95 / $33.40	Facility		$20.48	$26.95	$33.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $26.95 / $35.93	Professional		$17.86	$26.95	$35.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $46.06 / $112.60	Facility		$30.71	$46.06	$112.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $19.53 / $19.53	Professional		$19.53	$19.53	$19.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Facility		$30.78	$30.78	$30.78
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 $24.65 / $24.65 / $48.10	Facility		$24.65	$24.65	$48.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $193.10 / $194.94	Facility		$83.31	$193.10	$194.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $204.38 / $307.80	Professional		$204.38	$204.38	$307.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $32.31 / $51.18	Facility		$27.31	$32.31	$51.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $38.99 / $41.04	Professional		$34.71	$38.99	$41.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $47.20 / $80.80	Professional		$30.70	$47.20	$80.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $32.31 / $51.40	Facility		$27.31	$32.31	$51.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $34.11	Professional		$20.95	$20.95	$34.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $19.27 / $24.96	Professional		$14.50	$19.27	$24.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $41.04 / $55.40	Professional		$18.21	$41.04	$55.40