Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $1,002.00 / $12,941.00	Facility		$17.47	$1,002.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $53.37 / $83.90	Professional		$16.95	$53.37	$83.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.02 / $274.33 / $844.75	Facility		$152.02	$274.33	$844.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $59.84 / $72.00	Professional		$15.67	$59.84	$72.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $108.49 / $108.49	Facility		$108.49	$108.49	$108.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $75.81 / $135.28	Professional		$65.45	$75.81	$135.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $81.17	Facility		$18.97	$18.97	$81.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $61.00 / $112.00	Facility		$29.04	$61.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $135.35 / $135.35	Facility		$105.43	$135.35	$135.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $300.37 / $537.69 / $694.50	Professional		$300.37	$537.69	$694.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $46.05 / $100.10	Facility		$20.46	$46.05	$100.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $88.59 / $144.97	Professional		$26.39	$88.59	$144.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $111.10 / $226.30	Professional		$20.45	$111.10	$226.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $46.52 / $101.48	Facility		$20.46	$46.52	$101.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $74.09 / $175.75	Professional		$54.17	$74.09	$175.75
United Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $73.14 / $117.44	Professional		$49.82	$73.14	$117.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $80.53 / $109.47	Professional		$68.73	$80.53	$109.47