Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $39.03 / $168.76	Facility		$32.26	$39.03	$168.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $39.03 / $52.00	Professional		$25.74	$39.03	$52.00
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 $28.29 / $28.29 / $28.29	Professional		$28.29	$28.29	$28.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $44.57 / $44.57	Professional		$44.57	$44.57	$44.57
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 $37.33 / $37.33 / $69.66	Facility		$37.33	$37.33	$69.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.37 / $275.37 / $275.37	Facility		$99.37	$275.37	$275.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $298.10 / $432.83	Professional		$298.10	$298.10	$432.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $59.43 / $100.81	Facility		$38.51	$59.43	$100.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $54.82 / $59.43	Professional		$48.30	$54.82	$59.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $113.70 / $113.70	Professional		$113.70	$113.70	$113.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $59.43 / $103.18	Facility		$38.51	$59.43	$103.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $50.41	Professional		$31.73	$31.73	$50.41
United Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $33.44 / $41.96	Professional		$21.96	$33.44	$41.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $59.43 / $80.23	Professional		$59.43	$59.43	$80.23