Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $446.68 / $25,118.86	Facility		$0.02	$446.68	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $4,570.88 / $77,624.71	Professional		$0.83	$4,570.88	$77,624.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.95	Facility		$1.58	$1.58	$1.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,584.89	Facility		$1,479.11	$1,479.11	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $446.68 / $25,118.86	Facility		$0.02	$446.68	$25,118.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $4,570.88 / $77,624.71	Professional		$0.83	$4,570.88	$77,624.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1,230.27	Facility		$1.00	$1.00	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $380.19	Professional		$60.26	$79.43	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $66.07 / $67.61	Professional		$19.95	$66.07	$67.61