Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $73.77 / $221.20	Facility		$55.30	$73.77	$221.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.85 / $66.56	Professional		$55.47	$55.85	$66.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $110.66 / $220.79	Facility		$43.72	$110.66	$220.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Professional		$54.18	$54.18	$54.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $50.98 / $27,424.07	Facility		$50.98	$50.98	$27,424.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $56.18 / $56.18	Facility		$56.18	$56.18	$56.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $55.47 / $55.47	Facility		$52.33	$55.47	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $271.89 / $277.35	Facility		$75.00	$271.89	$277.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $239.05 / $239.05	Professional		$239.05	$239.05	$239.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $55.47 / $114.27	Facility		$55.30	$55.47	$114.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $56.58 / $91.53	Professional		$55.47	$56.58	$91.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $61.79 / $97.08	Professional		$54.36	$61.79	$97.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $103.18	Facility		$55.47	$55.47	$103.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $65.98	Professional		$55.47	$55.47	$65.98
United Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $58.80 / $61.75	Professional		$55.47	$58.80	$61.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $55.47 / $77.66	Professional		$54.14	$55.47	$77.66