Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $72.44 / $245.47	Facility		$34.67	$72.44	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $39.81	Professional		$34.67	$34.67	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $93.33 / $186.21	Facility		$36.31	$93.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $36.31	Professional		$19.95	$36.31	$36.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $131.83	Facility		$32.36	$52.48	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $79.43	Facility		$36.31	$36.31	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.92 / $83.18	Facility		$23.44	$26.92	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $47.86	Professional		$36.31	$39.81	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $269.15	Professional		$177.83	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $112.20	Facility		$34.67	$45.71	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $39.81	Professional		$34.67	$34.67	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $75.86	Professional		$36.31	$38.90	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $75.86	Facility		$36.31	$38.02	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $63.10	Professional		$32.36	$38.02	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $36.31	Facility		$12.88	$15.14	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $36.31	Professional		$15.14	$15.14	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $36.31	Professional		$14.13	$30.20	$36.31