Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,995.26 / $6,918.31	Facility		$223.87	$1,995.26	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $181.97	Professional		$30.20	$77.62	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $75.86 / $104.71	Professional		$23.99	$75.86	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $323.59	Facility		$47.86	$75.86	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $54.95 / $95.50	Professional		$23.99	$54.95	$95.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $41.69 / $47.86	Facility		$14.79	$41.69	$47.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $61.66 / $89.13	Professional		$29.51	$61.66	$89.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $223.87 / $223.87	Facility		$25.70	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $83.18 / $154.88	Professional		$34.67	$83.18	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $107.15 / $2,951.21	Facility		$33.11	$107.15	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $77.62 / $158.49	Professional		$30.90	$77.62	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $181.97 / $204.17	Professional		$3.02	$181.97	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $79.43 / $162.18	Facility		$30.20	$79.43	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $147.91	Professional		$34.67	$81.28	$147.91
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 $32.36 / $64.57 / $125.89	Professional		$32.36	$64.57	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $79.43	Professional		$74.13	$79.43	$79.43