Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $54.00 / $134.02	Facility		$7.23	$54.00	$134.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $9.88 / $10.80	Professional		$7.23	$9.88	$10.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $141.09 / $266.55	Facility		$58.65	$141.09	$266.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $30.34 / $30.34	Professional		$25.79	$30.34	$30.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $16.47 / $76.51	Facility		$16.47	$16.47	$76.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Facility		$35.92	$35.92	$35.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $180.62 / $182.69	Facility		$65.33	$180.62	$182.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $10.88 / $23.58	Facility		$9.53	$10.88	$23.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $40.15 / $216.04	Facility		$29.72	$40.15	$216.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $12.08 / $28.75	Facility		$9.53	$12.08	$28.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $26.94 / $42.22	Professional		$19.25	$26.94	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $24.10 / $30.21	Professional		$12.27	$24.10	$30.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $45.68	Professional		$22.61	$22.61	$45.68