Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $53.28 / $16,379.55	Facility		$52.75	$53.28	$16,379.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $54.33	Professional		$52.75	$52.75	$54.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $115.19 / $230.84	Facility		$47.54	$115.19	$230.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $57.65 / $57.65	Professional		$57.65	$57.65	$57.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $56.18 / $1,527.31	Facility		$41.99	$56.18	$1,527.31
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 $49.77 / $52.75 / $52.75	Facility		$49.77	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $213.92 / $213.92	Facility		$75.00	$213.92	$213.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $213.92 / $213.92	Professional		$213.92	$213.92	$213.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $48.85 / $88.96	Facility		$48.85	$48.85	$88.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $65.94	Professional		$52.75	$52.75	$65.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $49.50 / $148.10	Professional		$35.40	$49.50	$148.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $91.05	Facility		$52.75	$52.75	$91.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $57.56	Professional		$52.75	$52.75	$57.56
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $52.75 / $71.20	Professional		$48.45	$52.75	$71.20