Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $95.65 / $221.40	Facility		$20.66	$95.65	$221.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $13.06 / $20.51	Professional		$8.44	$13.06	$20.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $9.05 / $15.08	Professional		$5.28	$9.05	$15.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $46.90 / $87.01	Facility		$16.59	$46.90	$87.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.99 / $10.74	Professional		$5.00	$7.99	$10.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $22.40 / $105.63	Facility		$13.57	$22.40	$105.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.83 / $25.64	Professional		$12.06	$15.83	$25.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $14.93 / $15.08	Facility		$14.93	$14.93	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $33.22 / $76.67	Facility		$10.54	$33.22	$76.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $11.01 / $31.71	Professional		$7.99	$11.01	$31.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $71.94 / $100.00	Facility		$53.53	$71.94	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $19.14 / $27.03	Professional		$13.52	$19.14	$27.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $15.08 / $122.57	Facility		$12.37	$15.08	$122.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $15.08 / $27.90	Professional		$13.57	$15.08	$27.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $250.20 / $342.39 / $1,596.84	Facility		$250.20	$342.39	$1,596.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $15.08 / $38.11	Facility		$12.06	$15.08	$38.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $11.59 / $21.86	Professional		$7.99	$11.59	$21.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.63 / $12.31	Professional		$6.33	$8.63	$12.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $7.44 / $15.08	Professional		$5.88	$7.44	$15.08