Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $134.90 / $302.00	Facility		$42.66	$134.90	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $58.88	Professional		$19.05	$25.70	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $29.51	Professional		$10.00	$14.79	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $89.13 / $165.96	Facility		$32.36	$89.13	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.22 / $21.88	Professional		$5.01	$16.22	$21.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $42.66 / $380.19	Facility		$22.39	$42.66	$380.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $53.70	Professional		$22.39	$35.48	$53.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $154.88	Facility		$28.84	$64.57	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $53.70	Professional		$16.60	$29.51	$53.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $72.44	Professional		$25.12	$38.02	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $107.15 / $295.12	Facility		$22.39	$107.15	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $58.88	Professional		$18.20	$26.92	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $25.12	Professional		$22.39	$25.12	$25.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $275.42 / $309.03	Facility		$100.00	$275.42	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $87.10	Facility		$23.44	$29.51	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $51.29	Professional		$16.60	$26.92	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $17.78 / $29.51	Facility		$10.72	$17.78	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $30.20	Professional		$12.30	$17.38	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $29.51	Professional		$11.48	$11.48	$29.51