Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $83.56 / $140.51	Facility		$40.04	$83.56	$140.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $57.51 / $64.61	Professional		$55.00	$57.51	$64.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $80.95 / $160.24	Facility		$30.10	$80.95	$160.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $62.44	Professional		$62.44	$62.44	$62.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $61.41 / $151.57	Facility		$38.99	$61.41	$151.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $57.60 / $80.00	Facility		$57.60	$57.60	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $57.51 / $57.51	Facility		$54.25	$57.51	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $224.97 / $224.97	Facility		$75.00	$224.97	$224.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $309.22 / $309.22	Professional		$309.22	$309.22	$309.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $53.40 / $74.04	Facility		$1.92	$53.40	$74.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $94.89	Professional		$57.51	$57.51	$94.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $62.20 / $100.64	Professional		$20.10	$62.20	$100.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $57.51 / $77.34	Facility		$1.99	$57.51	$77.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $64.04	Professional		$57.51	$57.51	$64.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $57.51 / $80.51	Professional		$50.95	$57.51	$80.51