Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $65.27 / $158.82	Facility		$42.24	$65.27	$158.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $43.30 / $46.76	Professional		$42.24	$43.30	$46.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $95.34 / $204.16	Facility		$43.82	$95.34	$204.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $43.82 / $43.82	Professional		$43.82	$43.82	$43.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.99 / $45.99 / $111.86	Facility		$45.99	$45.99	$111.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $216.69 / $216.69 / $216.69	Facility		$216.69	$216.69	$216.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $286.19 / $286.19	Facility		$100.24	$286.19	$286.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $299.48 / $441.30	Professional		$299.48	$299.48	$441.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $52.80 / $119.89	Facility		$43.82	$52.80	$119.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $47.69 / $47.69	Professional		$47.69	$47.69	$47.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $50.02 / $52.79	Professional		$33.46	$50.02	$52.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $52.80 / $71.73	Facility		$44.88	$52.80	$71.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.81	Professional		$50.16	$50.16	$50.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $44.68 / $45.90	Professional		$34.00	$44.68	$45.90