Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $1,584.89	Facility		$41.69	$50.12	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $2,344.23	Professional		$32.36	$50.12	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,737.80	Professional		$1,000.00	$1,380.38	$1,737.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,089.30	Professional		$977.24	$1,445.44	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $79.43	Facility		$20.42	$39.81	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,454.71	Professional		$1,202.26	$1,737.80	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $12,589.25 / $12,589.25	Professional		$5,888.44	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,398.83 / $5,370.32	Facility		$43.65	$2,398.83	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $1,548.82 / $2,630.27	Professional		$40.74	$1,548.82	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,698.24 / $3,162.28	Professional		$457.09	$1,698.24	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $56.23	Professional		$19.95	$27.54	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $2,630.27 / $5,888.44	Facility		$41.69	$2,630.27	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,398.83	Professional		$1,202.26	$1,698.24	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11