Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.53 / $6,713.08	Facility		$30.23	$30.53	$6,713.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $32.14	Professional		$30.23	$30.23	$32.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $86.51 / $172.61	Facility		$34.40	$86.51	$172.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $33.79 / $33.79	Professional		$33.79	$33.79	$33.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $34.85 / $156.80	Facility		$30.30	$34.85	$156.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $30.23 / $30.23	Facility		$28.52	$30.23	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.55 / $134.55	Facility		$75.00	$134.55	$134.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,212.73 / $2,212.73 / $2,212.73	Professional		$2,212.73	$2,212.73	$2,212.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.53 / $65.30	Facility		$30.30	$30.53	$65.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $37.79	Professional		$30.23	$30.23	$37.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $68.50 / $148.10	Professional		$50.16	$68.50	$148.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.48 / $65.17	Facility		$30.23	$30.48	$65.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $37.88	Professional		$30.23	$30.23	$37.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.62	Professional		$30.23	$30.23	$30.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.30 / $40.81	Professional		$30.23	$30.30	$40.81