Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $3,548.13	Facility		$26.92	$33.11	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $43.65	Professional		$25.12	$28.18	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,380.38	Facility		$371.54	$645.65	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $43.65	Professional		$25.12	$31.62	$43.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $56.23	Professional		$28.18	$30.90	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $72.44	Professional		$28.84	$38.90	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $91.20	Facility		$25.70	$38.90	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $43.65	Professional		$25.70	$32.36	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $70.79	Professional		$44.67	$58.88	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $91.20	Facility		$26.30	$38.90	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $75.86	Professional		$28.84	$39.81	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $50.12	Professional		$23.99	$33.11	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Professional		$23.99	$25.12	$25.12