Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $70.79 / $251.19	Facility		$16.98	$70.79	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $28.84	Professional		$12.88	$18.62	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $70.79 / $128.82	Facility		$25.12	$70.79	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $20.42	Professional		$5.01	$12.59	$20.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $54.95	Facility		$21.88	$35.48	$54.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $35.48	Professional		$16.22	$22.91	$35.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $22.91 / $22.91	Facility		$9.33	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $107.15	Facility		$22.39	$50.12	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $38.90	Professional		$12.02	$16.22	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $194.98	Facility		$190.55	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $123.03	Facility		$17.38	$22.91	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $30.20	Professional		$12.88	$20.42	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $19.05	Professional		$17.38	$19.05	$19.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $69.18	Facility		$17.78	$22.91	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $38.90	Professional		$12.02	$16.60	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.80 / $22.91	Facility		$8.32	$13.80	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $18.62	Professional		$9.55	$13.18	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $22.91	Professional		$8.91	$8.91	$22.91