Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $76.79 / $141.33	Facility		$17.51	$76.79	$141.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $19.38 / $26.08	Professional		$13.04	$19.38	$26.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $13.04 / $21.73	Professional		$5.87	$13.04	$21.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $70.56 / $125.38	Facility		$26.95	$70.56	$125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.95 / $15.21	Professional		$5.00	$11.95	$15.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $32.60 / $128.63	Facility		$20.64	$32.60	$128.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.73 / $34.99	Professional		$17.38	$21.73	$34.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $21.73 / $21.73	Facility		$21.73	$21.73	$21.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $47.73 / $109.75	Facility		$15.19	$47.73	$109.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $16.13 / $33.04	Professional		$11.52	$16.13	$33.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $103.80 / $103.80	Facility		$66.64	$103.80	$103.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $31.64 / $35.95	Professional		$19.46	$31.64	$35.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.73 / $46.88	Facility		$17.38	$21.73	$46.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.73 / $34.57	Professional		$19.55	$21.73	$34.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $66.81 / $148.97	Facility		$48.82	$66.81	$148.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.73 / $54.34	Facility		$17.38	$21.73	$54.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $16.91 / $31.13	Professional		$11.52	$16.91	$31.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.44 / $17.98	Professional		$9.13	$12.44	$17.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $10.73 / $21.73	Professional		$8.47	$10.73	$21.73