Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $61.38 / $63.79	Facility		$26.95	$61.38	$63.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $63.79 / $94.07	Professional		$56.75	$63.79	$94.07
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 $65.41 / $65.41 / $81.84	Professional		$65.41	$65.41	$81.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $109.95 / $137.44	Professional		$84.95	$109.95	$137.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $128.19 / $137.44	Facility		$128.19	$128.19	$137.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $66.37	Professional		$48.45	$48.45	$66.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.53 / $557.39 / $662.15	Facility		$234.53	$557.39	$662.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $694.67 / $711.32 / $784.13	Professional		$694.67	$711.32	$784.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $91.82 / $137.44	Facility		$33.67	$91.82	$137.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $126.44 / $139.40	Professional		$33.67	$126.44	$139.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $140.19 / $315.43	Professional		$123.70	$140.19	$315.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $91.82 / $137.44	Facility		$33.67	$91.82	$137.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $70.75	Professional		$48.45	$48.45	$70.75
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $62.86 / $74.83	Professional		$43.47	$62.86	$74.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $62.64 / $137.44	Professional		$61.22	$62.64	$137.44