Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $30,199.52 / $93,325.43	Facility		$251.19	$30,199.52	$93,325.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $30.90	Professional		$23.99	$25.12	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $81.28 / $158.49	Facility		$35.48	$81.28	$158.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $12,302.69	Facility		$125.89	$229.09	$12,302.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $125.89	Facility		$79.43	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $20,417.38	Facility		$25.12	$30.90	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $223.87	Professional		$23.99	$25.70	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $66.07	Professional		$51.29	$57.54	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $144.54	Facility		$25.70	$30.90	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $125.89	Professional		$30.90	$83.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $125.89	Professional		$32.36	$125.89	$125.89