Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $95.29 / $712.40	Facility		$41.06	$95.29	$712.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $76.80	Professional		$40.65	$41.06	$76.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $118.45 / $236.34	Facility		$46.80	$118.45	$236.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $46.62 / $46.62	Professional		$46.62	$46.62	$46.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $41.20 / $214.69	Facility		$29.66	$41.20	$214.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $44.72 / $84.74	Professional		$40.65	$44.72	$84.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.06 / $139.06 / $139.06	Facility		$139.06	$139.06	$139.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $40.65	Facility		$38.35	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $183.69 / $183.69	Facility		$85.00	$183.69	$183.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $800.28 / $800.28 / $800.28	Professional		$800.28	$800.28	$800.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $41.20 / $84.24	Facility		$40.65	$41.20	$84.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $48.78 / $60.98	Professional		$38.51	$48.78	$60.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $44.72 / $69.20	Professional		$40.21	$44.72	$69.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $41.06 / $70.34	Facility		$40.65	$41.06	$70.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $53.34	Professional		$40.65	$40.65	$53.34
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $41.91	Professional		$40.65	$40.65	$41.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.61 / $54.88	Professional		$40.65	$41.61	$54.88