Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $21.79 / $23.53	Facility		$21.50	$21.79	$23.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $22.37 / $32.40	Professional		$15.94	$22.37	$32.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $29.79 / $71.43	Facility		$26.75	$29.79	$71.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $27.33 / $27.33	Professional		$27.33	$27.33	$27.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $28.20 / $47.37	Professional		$24.30	$28.20	$47.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Facility		$38.88	$38.88	$38.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $155.28 / $157.61	Facility		$67.36	$155.28	$157.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $335.71 / $349.14	Professional		$248.85	$335.71	$349.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $33.18 / $70.80	Facility		$22.08	$33.18	$70.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $31.52 / $33.18	Professional		$28.20	$31.52	$33.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $37.22 / $58.06	Professional		$32.52	$37.22	$58.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $33.18 / $70.80	Facility		$22.08	$33.18	$70.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $27.58	Professional		$13.54	$13.54	$27.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $15.05 / $22.81	Professional		$11.72	$15.05	$22.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $44.79	Professional		$33.18	$33.18	$44.79