Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $424.32 / $915.60	Facility		$49.53	$424.32	$915.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $49.53 / $64.44	Professional		$34.27	$49.53	$64.44
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 $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $153.41 / $255.24	Facility		$60.98	$153.41	$255.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $212.62 / $212.62 / $212.62	Facility		$212.62	$212.62	$212.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $323.89 / $335.73	Facility		$117.60	$323.89	$335.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.58 / $499.80 / $517.65	Professional		$480.58	$499.80	$517.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $64.39 / $113.59	Facility		$39.77	$64.39	$113.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $55.94 / $55.94	Professional		$55.94	$55.94	$55.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $83.30 / $83.30	Professional		$83.30	$83.30	$83.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $64.67 / $114.24	Facility		$39.92	$64.67	$114.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $68.68 / $106.14	Professional		$51.03	$68.68	$106.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $117.35 / $158.41	Professional		$60.00	$117.35	$158.41