Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $105.32 / $147.06	Facility		$65.91	$105.32	$147.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.65 / $78.95	Professional		$66.00	$66.65	$78.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $108.00 / $215.48	Facility		$42.67	$108.00	$215.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $71.72 / $71.72	Professional		$71.72	$71.72	$71.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.65 / $66.50 / $4,577.84	Facility		$54.65	$66.50	$4,577.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,819.27 / $3,819.27 / $3,819.27	Facility		$3,819.27	$3,819.27	$3,819.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $66.00 / $66.00	Facility		$62.26	$66.00	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $326.39 / $330.00	Facility		$86.83	$326.39	$330.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $283.51 / $283.51 / $283.51	Professional		$283.51	$283.51	$283.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $66.00 / $105.55	Facility		$65.26	$66.00	$105.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $67.31 / $108.90	Professional		$66.00	$67.31	$108.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $72.59 / $129.10	Professional		$64.88	$72.59	$129.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $108.04	Facility		$66.00	$66.00	$108.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $80.95	Professional		$66.00	$66.00	$80.95
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $69.95 / $73.92	Professional		$66.00	$69.95	$73.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $66.00 / $92.40	Professional		$64.22	$66.00	$92.40