Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $92.47 / $169.56	Facility		$15.82	$92.47	$169.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $18.86 / $37.76	Professional		$12.49	$18.86	$37.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $12.49 / $20.81	Professional		$7.28	$12.49	$20.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $66.80 / $120.02	Facility		$24.76	$66.80	$120.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $18.73	Professional		$5.00	$11.03	$18.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $32.26 / $123.91	Facility		$19.77	$32.26	$123.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.81 / $33.29	Professional		$15.61	$20.81	$33.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $45.73 / $105.77	Facility		$14.54	$45.73	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.16 / $35.01	Professional		$11.03	$15.16	$35.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $99.06 / $100.00	Facility		$53.00	$99.06	$100.00
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 $16.64 / $20.81 / $31.13	Facility		$16.64	$20.81	$31.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.81 / $27.12	Professional		$18.73	$20.81	$27.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $253.45 / $617.25	Facility		$185.20	$253.45	$617.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $52.33	Facility		$16.64	$20.81	$52.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.02 / $30.06	Professional		$11.03	$16.02	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.92 / $16.98	Professional		$8.74	$11.92	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.28 / $20.81	Professional		$8.11	$10.28	$20.81