Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $204.03 / $743.99	Facility		$49.66	$204.03	$743.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $50.57 / $82.15	Professional		$39.40	$50.57	$82.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $83.70	Professional		$39.40	$39.40	$83.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $162.91 / $339.62	Facility		$85.40	$162.91	$339.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $36.13 / $91.97	Professional		$5.00	$36.13	$91.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $101.82 / $315.00	Facility		$65.69	$101.82	$315.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $67.30 / $113.64	Professional		$45.98	$67.30	$113.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $144.33 / $292.47	Facility		$44.48	$144.33	$292.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $52.22 / $112.00	Professional		$33.22	$52.22	$112.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $312.02 / $312.02	Facility		$119.78	$312.02	$312.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $328.45 / $328.45 / $492.68	Professional		$328.45	$328.45	$492.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.98 / $65.75 / $111.86	Facility		$45.98	$65.75	$111.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $65.69 / $82.11	Professional		$62.05	$65.69	$82.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $553.05 / $1,465.06	Facility		$404.13	$553.05	$1,465.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $78.83 / $147.80	Professional		$42.70	$78.83	$147.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $78.83 / $254.41	Facility		$44.62	$78.83	$254.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $72.26 / $112.00	Professional		$33.43	$72.26	$112.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $28.19 / $42.04	Professional		$27.59	$28.19	$42.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $65.69 / $88.68	Professional		$25.62	$65.69	$88.68