Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $67.36 / $140.68	Facility		$13.73	$67.36	$140.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $26.19	Professional		$10.11	$14.45	$26.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.54 / $18.05	Professional		$12.04	$12.54	$18.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $59.42 / $105.65	Facility		$22.57	$59.42	$105.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.57 / $16.07	Professional		$5.00	$9.57	$16.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $27.09 / $108.15	Facility		$16.69	$27.09	$108.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.32 / $18.32	Facility		$18.05	$18.32	$18.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $39.45 / $82.52	Facility		$12.62	$39.45	$82.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.51 / $37.85	Professional		$9.57	$13.51	$37.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $86.10 / $86.10	Facility		$54.85	$86.10	$86.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.05 / $27.04	Facility		$14.45	$18.05	$27.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.05 / $23.53	Professional		$16.25	$18.05	$23.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $239.86 / $522.82	Facility		$144.22	$239.86	$522.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.05 / $45.41	Facility		$14.45	$18.05	$45.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.89 / $25.86	Professional		$9.57	$13.89	$25.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.33 / $14.75	Professional		$7.59	$10.33	$14.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.92 / $18.05	Professional		$7.04	$8.92	$18.05