Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.14 / $659.60	Facility		$0.63	$1.14	$659.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.64 / $0.94	Professional		$0.63	$0.64	$0.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $9.24 / $18.43	Facility		$3.65	$9.24	$18.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.88 / $395.97	Facility		$0.63	$0.88	$395.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $235.98 / $235.98 / $235.98	Facility		$235.98	$235.98	$235.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.63 / $0.63	Facility		$0.59	$0.63	$0.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Professional		$7.30	$7.30	$7.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.78 / $1.65	Facility		$0.63	$0.78	$1.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.64 / $1.04	Professional		$0.63	$0.64	$1.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.69 / $1.57	Professional		$0.61	$0.69	$1.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $1.79	Facility		$0.63	$0.63	$1.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.50	Professional		$0.63	$0.63	$1.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $0.70	Professional		$0.63	$0.67	$0.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.70 / $0.88	Professional		$0.63	$0.70	$0.88