Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $266.72 / $679.01	Facility		$60.96	$266.72	$679.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $37.96 / $54.77	Professional		$28.58	$37.96	$54.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $28.58 / $33.08	Professional		$22.86	$28.58	$33.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $149.56 / $274.83	Facility		$52.39	$149.56	$274.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.24 / $46.68	Professional		$5.00	$25.24	$46.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $73.83 / $333.89	Facility		$45.25	$73.83	$333.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $49.05 / $76.20	Professional		$35.72	$49.05	$76.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $50.01 / $50.01	Facility		$47.63	$50.01	$50.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $101.09 / $238.80	Facility		$33.29	$101.09	$238.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $37.04 / $80.42	Professional		$25.24	$37.04	$80.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.33 / $260.00 / $260.00	Facility		$143.33	$260.00	$260.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $63.54 / $78.95	Professional		$42.68	$63.54	$78.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $47.63 / $150.00	Facility		$37.97	$47.63	$150.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $47.63 / $80.19	Professional		$42.87	$47.63	$80.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.02 / $320.26 / $2,351.81	Facility		$234.02	$320.26	$2,351.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $47.63 / $119.77	Facility		$37.18	$47.63	$119.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $39.11 / $68.23	Professional		$25.24	$39.11	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.95 / $38.90	Professional		$20.00	$27.95	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $23.52 / $47.63	Professional		$18.57	$23.52	$47.63