Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $38.56 / $106.99	Facility		$15.62	$38.56	$106.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.88 / $20.05	Professional		$12.40	$17.88	$20.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $12.40	Professional		$9.92	$9.92	$12.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $68.15 / $123.81	Facility		$25.63	$68.15	$123.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.96 / $18.39	Professional		$5.00	$10.96	$18.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.67 / $31.01	Professional		$15.50	$20.67	$31.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $20.67	Facility		$20.67	$20.67	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $45.43 / $104.46	Facility		$14.44	$45.43	$104.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.16 / $35.01	Professional		$10.96	$15.16	$35.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $99.06 / $99.06	Facility		$55.00	$99.06	$99.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $30.23 / $34.34	Professional		$18.57	$30.23	$34.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $20.67 / $26.87	Facility		$16.54	$20.67	$26.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $20.67 / $26.94	Professional		$18.60	$20.67	$26.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $264.98 / $489.51 / $1,017.79	Facility		$264.98	$489.51	$1,017.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $20.67 / $51.91	Facility		$16.54	$20.67	$51.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.89 / $29.88	Professional		$10.96	$15.89	$29.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $11.83 / $17.10	Professional		$8.68	$11.83	$17.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $10.21 / $20.67	Professional		$8.06	$10.21	$20.67