Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $57.81 / $541.23	Facility		$33.88	$57.81	$541.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.82 / $2,283.00	Professional		$33.88	$34.82	$2,283.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $107.24 / $213.97	Facility		$42.37	$107.24	$213.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $36.86 / $36.86	Professional		$36.86	$36.86	$36.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $3,508.85	Facility		$37.54	$37.54	$3,508.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $38.96 / $38.96	Professional		$37.54	$38.96	$38.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,658.16 / $1,658.16 / $1,658.16	Facility		$1,658.16	$1,658.16	$1,658.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $33.88 / $33.88	Facility		$31.96	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $169.40 / $173.60	Facility		$75.00	$169.40	$173.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $155.61 / $155.61	Professional		$155.61	$155.61	$155.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $34.47 / $69.79	Facility		$33.88	$34.47	$69.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.56 / $55.90	Professional		$33.88	$34.56	$55.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $67.09 / $85.60	Professional		$27.40	$67.09	$85.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $66.44	Facility		$33.88	$33.88	$66.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Professional		$33.88	$33.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.25 / $47.43	Professional		$33.88	$35.25	$47.43