Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $112.54 / $231.51	Facility		$14.83	$112.54	$231.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $16.36 / $32.00	Professional		$11.15	$16.36	$32.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.15 / $18.57	Professional		$5.01	$11.15	$18.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $58.34 / $107.21	Facility		$20.44	$58.34	$107.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.85 / $14.04	Professional		$5.00	$9.85	$14.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $27.87 / $221.38	Facility		$17.17	$27.87	$221.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $18.39 / $31.59	Professional		$13.94	$18.39	$31.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $18.57	Facility		$18.57	$18.57	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $40.83 / $93.87	Facility		$12.99	$40.83	$93.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $20.80 / $48.07	Professional		$10.49	$20.80	$48.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $88.44 / $100.00	Facility		$72.00	$88.44	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $26.93 / $30.59	Professional		$16.55	$26.93	$30.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $18.57 / $113.05	Facility		$14.86	$18.57	$113.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $18.57 / $33.63	Professional		$16.72	$18.57	$33.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $232.65 / $318.38 / $685.81	Facility		$232.65	$318.38	$685.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $18.57 / $46.23	Facility		$14.87	$18.57	$46.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $19.02 / $30.50	Professional		$9.85	$19.02	$30.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.63 / $15.37	Professional		$7.80	$10.63	$15.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $18.57	Professional		$9.18	$9.18	$18.57