Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $72.63 / $104.72	Facility		$47.97	$72.63	$104.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $57.57	Professional		$47.97	$48.45	$57.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $115.54 / $230.53	Facility		$45.65	$115.54	$230.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.21 / $47.21	Professional		$47.21	$47.21	$47.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Professional		$45.65	$45.65	$45.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $47.85 / $47.85	Facility		$47.85	$47.85	$47.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $47.97 / $47.97	Facility		$45.26	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $239.85 / $241.15	Facility		$75.00	$239.85	$241.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $213.78 / $213.78	Professional		$213.78	$213.78	$213.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $48.00 / $100.99	Facility		$47.97	$48.00	$100.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.93 / $79.15	Professional		$47.97	$48.93	$79.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $50.85 / $85.17	Professional		$43.18	$50.85	$85.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $93.64	Facility		$47.97	$47.97	$93.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $60.53	Professional		$47.97	$47.97	$60.53
United Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $51.12 / $79.58	Facility		$48.23	$51.12	$79.58
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.42 / $67.16	Professional		$47.97	$48.42	$67.16