Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $108.29 / $653.64	Facility		$29.52	$108.29	$653.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $29.52 / $30.60	Professional		$28.80	$29.52	$30.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $71.11 / $143.41	Facility		$25.83	$71.11	$143.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $30.24	Professional		$30.24	$30.24	$30.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $285.11 / $285.11 / $304.94	Facility		$285.11	$285.11	$304.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $135.00	Facility		$85.00	$100.00	$135.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $36.00 / $81.75	Facility		$29.52	$36.00	$81.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $27.82 / $27.82	Professional		$27.82	$27.82	$27.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.44 / $320.56 / $336.59	Professional		$214.44	$320.56	$336.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $35.90 / $48.91	Facility		$29.88	$35.90	$48.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.39	Professional		$30.00	$30.00	$30.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.00 / $30.00	Professional		$20.00	$27.00	$30.00