Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $49.08 / $70.68	Facility		$32.15	$49.08	$70.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.46 / $38.58	Professional		$32.15	$32.46	$38.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $88.86 / $177.31	Facility		$35.11	$88.86	$177.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $32.68 / $32.68	Professional		$32.68	$32.68	$32.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $12,641.00	Facility		$29.71	$29.71	$12,641.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $35.36 / $43.74	Professional		$30.83	$35.36	$43.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,265.47 / $7,265.47 / $7,265.47	Facility		$7,265.47	$7,265.47	$7,265.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $32.15 / $32.15	Facility		$30.33	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $160.75 / $161.90	Facility		$75.00	$160.75	$161.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $143.25 / $143.25	Professional		$143.25	$143.25	$143.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.40 / $66.23	Facility		$32.15	$32.40	$66.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.79 / $53.05	Professional		$32.15	$32.79	$53.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $45.50 / $70.90	Professional		$27.40	$45.50	$70.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $59.79	Facility		$32.15	$32.15	$59.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.56	Professional		$32.15	$32.15	$40.56
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.45 / $45.01	Professional		$32.15	$32.45	$45.01