Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $14.39 / $79.89	Facility		$12.95	$14.39	$79.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
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
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $2.29 / $44.74	Facility		$1.83	$2.29	$44.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $16.97	Facility		$16.97	$16.97	$16.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.65	Facility		$2.02	$2.02	$2.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $10.76	Professional		$9.08	$9.08	$10.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $40.84	Facility		$14.39	$14.39	$40.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $14.39 / $32.38	Facility		$2.02	$14.39	$32.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.49	Professional		$2.02	$2.02	$2.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $50.00 / $70.00	Professional		$1.99	$50.00	$70.00