Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $63.79 / $167.87	Facility		$25.30	$63.79	$167.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.11 / $41.03	Professional		$20.51	$28.11	$41.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $20.51 / $21.91	Professional		$16.41	$20.51	$21.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $110.78 / $202.75	Facility		$42.40	$110.78	$202.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.12 / $30.43	Professional		$5.00	$18.12	$30.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $34.02 / $51.29	Professional		$23.93	$34.02	$51.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $33.51 / $34.19	Facility		$33.51	$33.51	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $69.70 / $152.47	Facility		$25.32	$69.70	$152.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $23.39 / $53.07	Professional		$17.85	$23.39	$53.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $162.40 / $162.40	Facility		$80.00	$162.40	$162.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $47.22 / $56.88	Professional		$30.77	$47.22	$56.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $34.19 / $41.03	Facility		$26.17	$34.19	$41.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $34.19 / $41.12	Professional		$30.77	$34.19	$41.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $91.75 / $118.72	Facility		$61.43	$91.75	$118.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $34.19 / $88.85	Facility		$26.17	$34.19	$88.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $26.33 / $45.58	Professional		$18.12	$26.33	$45.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.21 / $28.35	Professional		$14.36	$18.21	$28.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.58 / $34.19	Professional		$13.33	$15.58	$34.19