Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $100.00 / $257.04	Facility		$14.79	$100.00	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $37.15	Professional		$12.02	$16.60	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.77 / $22.39	Professional		$6.17	$9.77	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $58.88 / $107.15	Facility		$20.42	$58.88	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.23 / $12.59	Professional		$5.01	$10.23	$12.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $28.18 / $162.18	Facility		$13.80	$28.18	$162.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $33.88	Professional		$13.80	$20.42	$33.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.50 / $19.50	Facility		$18.62	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $100.00	Facility		$18.20	$40.74	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $48.98	Professional		$10.47	$19.95	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.38 / $28.18	Professional		$15.85	$17.38	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $177.83	Facility		$14.13	$27.54	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $32.36	Professional		$10.96	$16.60	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.49 / $15.49	Professional		$13.80	$15.49	$15.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $691.83 / $776.25	Facility		$251.19	$691.83	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $53.70	Facility		$14.79	$18.62	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $30.90	Professional		$11.48	$18.62	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.59 / $19.95	Facility		$6.61	$12.59	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $18.20	Professional		$7.76	$10.96	$18.20