Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $43.19 / $1,843.90	Facility		$23.73	$43.19	$1,843.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $30.24	Professional		$25.20	$25.20	$30.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $24.78 / $58.23	Facility		$24.78	$24.78	$58.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $24.78 / $24.78	Professional		$24.78	$24.78	$24.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $37.84	Professional		$29.38	$29.38	$37.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $24.84 / $80.00	Facility		$24.84	$24.84	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $25.20 / $25.20	Facility		$23.78	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $26.16	Professional		$25.20	$25.20	$26.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $866.62 / $866.62	Facility		$75.00	$866.62	$866.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $565.38 / $587.99	Professional		$464.00	$565.38	$587.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $30.08 / $72.27	Facility		$23.50	$30.08	$72.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.70 / $45.38	Professional		$25.20	$25.70	$45.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $28.98 / $56.40	Professional		$24.84	$28.98	$56.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $29.80 / $72.27	Facility		$25.20	$29.80	$72.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $32.36	Professional		$25.20	$25.20	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.71 / $28.05	Professional		$25.20	$26.71	$28.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.20 / $35.28	Professional		$23.50	$25.20	$35.28