Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $123.86 / $324.48	Facility		$32.65	$123.86	$324.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $22.05 / $32.65	Professional		$15.24	$22.05	$32.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.07 / $18.61	Professional		$9.52	$13.07	$18.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $85.47 / $152.43	Facility		$29.94	$85.47	$152.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.43 / $27.22	Professional		$5.00	$14.43	$27.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $40.83 / $123.09	Facility		$24.50	$40.83	$123.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.08 / $40.83	Professional		$19.05	$27.08	$40.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $38.11 / $38.11	Facility		$27.22	$38.11	$38.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $59.06 / $124.01	Facility		$19.02	$59.06	$124.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $20.04 / $45.41	Professional		$12.90	$20.04	$45.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $129.30 / $129.30	Facility		$80.00	$129.30	$129.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $33.38 / $37.00	Professional		$23.11	$33.38	$37.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $27.22 / $153.38	Facility		$19.82	$27.22	$153.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $27.22 / $34.90	Professional		$24.50	$27.22	$34.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $965.92 / $1,270.41 / $2,127.14	Facility		$965.92	$1,270.41	$2,127.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $27.22 / $68.13	Facility		$19.82	$27.22	$68.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $20.96 / $38.36	Professional		$12.90	$20.96	$38.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.28 / $16.66	Professional		$11.43	$13.28	$16.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.23 / $27.22	Professional		$10.62	$13.23	$27.22