Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $20.17	Facility		$19.97	$19.97	$20.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.05	Professional		$19.97	$19.97	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $23.98 / $1,233.26	Facility		$20.85	$23.98	$1,233.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $53.98 / $121.37	Facility		$53.98	$53.98	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $19.97 / $19.97	Facility		$18.84	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.79 / $90.79	Facility		$75.00	$90.79	$90.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $90.79 / $90.79	Professional		$90.79	$90.79	$90.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.85 / $42.34	Facility		$20.17	$20.85	$42.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $24.96	Professional		$19.97	$19.97	$24.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $32.61 / $302.94	Professional		$21.57	$32.61	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $42.26	Facility		$19.97	$19.97	$42.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $23.74	Professional		$19.97	$19.97	$23.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.23	Professional		$19.97	$19.97	$20.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.56 / $26.96	Professional		$19.97	$20.56	$26.96