Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $234.42 / $575.44	Facility		$54.95	$234.42	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $162.18	Professional		$44.67	$60.26	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $120.23	Professional		$35.48	$43.65	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $234.42 / $389.05	Facility		$91.20	$234.42	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $40.74 / $100.00	Professional		$5.01	$40.74	$100.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $407.38	Facility		$67.61	$109.65	$407.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $120.23	Professional		$66.07	$91.20	$120.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $138.04 / $331.13	Facility		$54.95	$138.04	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $134.90	Professional		$37.15	$69.18	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $549.54	Professional		$363.08	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $331.13	Facility		$53.70	$74.13	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $109.65	Professional		$26.92	$57.54	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $74.13	Professional		$61.66	$61.66	$74.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $1,071.52	Facility		$457.09	$954.99	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $154.88	Professional		$74.13	$79.43	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $87.10 / $275.42	Facility		$52.48	$87.10	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $128.82	Professional		$35.48	$74.13	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.90 / $74.13	Facility		$26.30	$30.90	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $50.12	Professional		$30.90	$34.67	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $61.66 / $74.13	Professional		$28.84	$61.66	$74.13