Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $44.84 / $5,336.53	Facility		$19.00	$44.84	$5,336.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $23.98	Professional		$19.00	$19.19	$23.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $260.79 / $520.35	Facility		$103.04	$260.79	$520.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Professional		$28.32	$28.32	$28.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $84.78 / $472.69	Facility		$19.00	$84.78	$472.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $47.50 / $107.84	Professional		$21.99	$47.50	$107.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $27.27 / $80.00	Facility		$27.27	$27.27	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $38.24	Facility		$13.34	$19.00	$38.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.97 / $461.50 / $461.50	Facility		$105.97	$461.50	$461.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $126.91 / $145.08	Professional		$121.69	$126.91	$145.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $21.99 / $53.93	Facility		$19.00	$21.99	$53.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.38 / $31.35	Professional		$19.00	$19.38	$31.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.27 / $59.33	Professional		$19.00	$27.27	$59.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $53.93	Facility		$19.00	$19.00	$53.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $46.81	Professional		$19.00	$19.00	$46.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.14 / $21.47	Professional		$19.00	$20.14	$21.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.19 / $26.60	Professional		$19.00	$24.19	$26.60