Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $6.09 / $115.56	Facility		$1.62	$6.09	$115.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.66 / $1.73	Professional		$1.62	$1.66	$1.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $9.94 / $19.85	Facility		$3.93	$9.94	$19.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $3.93	Professional		$1.71	$1.71	$3.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $12.66 / $297.14	Facility		$12.66	$12.66	$297.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $404.61 / $420.79	Professional		$25.50	$404.61	$420.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.02 / $4.59	Facility		$1.68	$2.02	$4.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $17.59 / $18.86	Professional		$12.01	$17.59	$18.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $2.02 / $4.08	Facility		$1.73	$2.02	$4.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.71	Professional		$1.69	$1.69	$1.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $3.93 / $5.31	Professional		$1.69	$3.93	$5.31