Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $23,381.52 / $83,669.44	Facility		$151.57	$23,381.52	$83,669.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $25.51 / $26.44	Professional		$24.89	$25.51	$26.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $87.87 / $178.21	Facility		$35.29	$87.87	$178.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $180.34 / $180.34 / $52,457.53	Facility		$180.34	$180.34	$52,457.53
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 $31.11 / $31.11 / $31.11	Facility		$31.11	$31.11	$31.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11
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 $136.12 / $136.12 / $136.12	Professional		$136.12	$136.12	$136.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $31.11 / $54.08	Facility		$25.51	$31.11	$54.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $54.40 / $205.54	Professional		$43.24	$54.40	$205.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $31.11 / $54.08	Facility		$25.51	$31.11	$54.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $42.00	Professional		$31.11	$31.11	$42.00