Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $102.95 / $540.00	Facility		$20.72	$102.95	$540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $12.57 / $67.73	Professional		$11.01	$12.57	$67.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $10.36 / $17.27	Professional		$6.04	$10.36	$17.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $51.46 / $96.88	Facility		$18.64	$51.46	$96.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.15 / $17.10	Professional		$5.00	$9.15	$17.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $27.63 / $84.50	Facility		$17.27	$27.63	$84.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.54 / $27.63	Professional		$12.95	$17.54	$27.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $18.13 / $18.13	Facility		$17.27	$18.13	$18.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $30.02 / $76.50	Facility		$12.07	$30.02	$76.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $10.85 / $27.11	Professional		$8.65	$10.85	$27.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $123.64 / $123.64	Facility		$97.24	$123.64	$123.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $19.34 / $28.45	Professional		$15.39	$19.34	$28.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $17.27 / $29.00	Facility		$12.58	$17.27	$29.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $17.27 / $21.62	Professional		$15.54	$17.27	$21.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $438.48 / $543.88 / $3,342.15	Facility		$438.48	$543.88	$3,342.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $17.27 / $40.06	Facility		$12.58	$17.27	$40.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.09 / $18.71	Professional		$8.24	$12.09	$18.71
United Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $7.25 / $17.27	Facility		$6.22	$7.25	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.60 / $11.00	Professional		$7.25	$7.60	$11.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $17.27	Professional		$6.91	$6.91	$17.27