Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $171.90 / $328.64	Facility		$39.86	$171.90	$328.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $45.31 / $48.32	Professional		$31.53	$45.31	$48.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.52 / $50.86	Professional		$17.80	$30.52	$50.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $167.84 / $294.39	Facility		$63.07	$167.84	$294.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $26.96 / $45.27	Professional		$5.00	$26.96	$45.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $81.38 / $331.86	Facility		$50.86	$81.38	$331.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $52.27 / $81.38	Professional		$38.15	$52.27	$81.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $53.40 / $53.40	Facility		$50.86	$53.40	$53.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $111.74 / $256.48	Facility		$35.54	$111.74	$256.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $37.19 / $85.89	Professional		$26.96	$37.19	$85.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $242.94 / $242.94	Facility		$130.00	$242.94	$242.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $50.86 / $78.16	Facility		$40.69	$50.86	$78.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $50.86 / $70.53	Professional		$45.77	$50.86	$70.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $273.89 / $374.82 / $831.56	Facility		$273.89	$374.82	$831.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $50.86 / $126.72	Facility		$40.69	$50.86	$126.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $39.15 / $73.45	Professional		$26.96	$39.15	$73.45
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $29.09 / $41.52	Professional		$21.36	$29.09	$41.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $25.11 / $50.86	Professional		$19.84	$25.11	$50.86