Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $44.60 / $45.45	Facility		$43.74	$44.60	$45.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $45.45 / $73.75	Professional		$41.79	$45.45	$73.75
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 $46.61 / $46.61 / $58.32	Professional		$46.61	$46.61	$58.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $73.45 / $97.94	Professional		$68.56	$73.45	$97.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $65.90	Professional		$48.11	$48.11	$65.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.38 / $473.76 / $557.27	Facility		$221.38	$473.76	$557.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $700.07 / $716.85 / $716.85	Professional		$700.07	$716.85	$716.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $68.26 / $97.94	Facility		$28.34	$68.26	$97.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $83.25 / $97.94	Professional		$28.34	$83.25	$97.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $107.73 / $220.37	Professional		$97.94	$107.73	$220.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $65.90 / $97.94	Facility		$28.34	$65.90	$97.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $70.26	Professional		$48.11	$48.11	$70.26
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $54.11 / $62.98	Professional		$36.58	$54.11	$62.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $53.40 / $97.94	Professional		$52.72	$53.40	$97.94