Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $537.03	Facility		$23.99	$50.12	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $36.31	Professional		$23.99	$25.12	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $58.88	Facility		$24.55	$24.55	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $56.23 / $190.55	Facility		$25.70	$56.23	$190.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $34.67	Professional		$25.12	$29.51	$34.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $79.43	Facility		$25.12	$25.12	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $25.12 / $25.12	Facility		$23.44	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $67.61	Facility		$25.12	$31.62	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $30.90	Professional		$23.99	$25.12	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $28.84	Professional		$23.44	$25.12	$28.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $60.26	Professional		$26.92	$51.29	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $74.13	Facility		$25.12	$32.36	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $31.62	Professional		$24.55	$24.55	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $27.54	Professional		$25.12	$26.30	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Professional		$25.12	$25.12	$30.90