Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.50 / $95.03	Facility		$51.00	$51.50	$95.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $54.30	Professional		$51.00	$51.00	$54.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $101.80 / $203.11	Facility		$40.22	$101.80	$203.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $61.82 / $3,145.14	Facility		$35.32	$61.82	$3,145.14
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 $48.12 / $51.00 / $51.00	Facility		$48.12	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $231.33 / $231.33	Facility		$75.00	$231.33	$231.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $231.33 / $231.33	Professional		$231.33	$231.33	$231.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $53.76 / $91.85	Facility		$15.22	$53.76	$91.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $63.75	Professional		$51.00	$51.00	$63.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $36.29 / $205.54	Professional		$29.90	$36.29	$205.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $51.00 / $85.68	Facility		$15.22	$51.00	$85.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $61.69	Professional		$51.00	$51.00	$61.69
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.20	Professional		$51.00	$51.00	$51.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $68.84	Professional		$51.00	$51.00	$68.84