Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $35.39 / $36.07	Facility		$34.71	$35.39	$36.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $36.07 / $52.45	Professional		$30.75	$36.07	$52.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $46.27 / $46.27	Professional		$36.99	$46.27	$46.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $58.28 / $77.70	Professional		$54.40	$58.28	$77.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Facility		$77.70	$77.70	$77.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Professional		$28.16	$28.16	$28.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $310.38 / $365.18 / $365.18	Facility		$310.38	$365.18	$365.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.66 / $384.66 / $582.83	Professional		$384.66	$384.66	$582.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $51.93 / $77.70	Facility		$18.77	$51.93	$77.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $71.48 / $77.70	Professional		$18.77	$71.48	$77.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $85.48 / $174.85	Professional		$77.70	$85.48	$174.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $51.93 / $77.70	Facility		$18.77	$51.93	$77.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $64.62	Professional		$28.16	$28.16	$64.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $28.82 / $33.65	Facility		$21.96	$28.82	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $35.04 / $41.72	Professional		$24.24	$35.04	$41.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.92 / $77.70	Professional		$34.78	$34.92	$77.70