Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $239.88 / $549.54	Facility		$41.69	$239.88	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $218.78	Professional		$44.67	$70.79	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $79.43	Professional		$44.67	$58.88	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $58.88 / $97.72	Facility		$28.84	$58.88	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $72.44	Professional		$32.36	$50.12	$72.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $131.83	Professional		$56.23	$75.86	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $61.66	Facility		$50.12	$50.12	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $120.23 / $169.82	Facility		$60.26	$120.23	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $134.90	Professional		$50.12	$72.44	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $537.03	Facility		$389.05	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $489.78	Professional		$478.63	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $81.28 / $158.49	Facility		$51.29	$81.28	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $169.82	Professional		$48.98	$77.62	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.11 / $52.48	Professional		$18.62	$33.11	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $58.88 / $144.54	Professional		$21.38	$58.88	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $162.18	Facility		$53.70	$87.10	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $138.04	Professional		$50.12	$70.79	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $109.65	Professional		$54.95	$69.18	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $72.44	Professional		$58.88	$60.26	$72.44