Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $53.01 / $54.03	Facility		$51.99	$53.01	$54.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $54.03 / $87.67	Professional		$49.21	$54.03	$87.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $55.41 / $69.31	Professional		$55.41	$55.41	$69.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $95.46 / $116.42	Professional		$77.79	$95.46	$116.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.42 / $116.42 / $116.42	Facility		$116.42	$116.42	$116.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $89.33	Professional		$47.20	$47.20	$89.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $539.41 / $539.41	Facility		$194.53	$539.41	$539.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.01 / $583.01 / $848.33	Professional		$583.01	$583.01	$848.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $81.13 / $116.42	Facility		$33.32	$81.13	$116.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $104.78 / $116.42	Professional		$33.32	$104.78	$116.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $77.79 / $116.42	Facility		$33.32	$77.79	$116.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $92.03	Professional		$47.20	$64.66	$92.03
United Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $62.21 / $74.05	Professional		$43.02	$62.21	$74.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $62.92 / $116.42	Professional		$61.99	$62.92	$116.42