Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $36.14 / $42.12	Facility		$25.45	$36.14	$42.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $26.45 / $37.34	Professional		$24.08	$26.45	$37.34
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 $27.13 / $27.13 / $33.94	Professional		$27.13	$27.13	$33.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $42.75 / $57.00	Professional		$39.90	$42.75	$57.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Facility		$57.00	$57.00	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $33.22	Professional		$24.25	$24.25	$33.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $264.05 / $264.05	Facility		$95.27	$264.05	$264.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $285.55 / $415.05	Professional		$285.55	$285.55	$415.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $38.08 / $57.00	Facility		$16.30	$38.08	$57.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $48.45 / $57.00	Professional		$16.30	$48.45	$57.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $57.00 / $130.81	Professional		$22.20	$57.00	$130.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $35.35 / $57.00	Facility		$16.30	$35.35	$57.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $35.40	Professional		$24.25	$24.25	$35.40
United Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $30.45 / $36.25	Professional		$21.06	$30.45	$36.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $30.58 / $57.00	Professional		$30.35	$30.58	$57.00