Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $80.26 / $215.75	Facility		$13.74	$80.26	$215.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $11.98 / $21.98	Professional		$8.50	$11.98	$21.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.24 / $13.74	Professional		$4.80	$8.24	$13.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $43.97 / $81.69	Facility		$16.35	$43.97	$81.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.56 / $9.34	Professional		$5.00	$7.56	$9.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $20.61 / $133.44	Facility		$12.69	$20.61	$133.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.54 / $21.98	Professional		$10.31	$13.54	$21.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $13.54 / $13.74	Facility		$13.54	$13.54	$13.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $30.18 / $70.06	Facility		$9.60	$30.18	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.28 / $21.16	Professional		$7.28	$10.28	$21.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $66.06 / $100.00	Facility		$62.00	$66.06	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $19.84 / $22.54	Professional		$12.20	$19.84	$22.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $13.74 / $25.89	Facility		$10.99	$13.74	$25.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $13.74 / $19.05	Professional		$12.37	$13.74	$19.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $314.11 / $671.66	Facility		$229.50	$314.11	$671.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $13.74 / $34.24	Facility		$10.99	$13.74	$34.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.69 / $19.84	Professional		$7.28	$10.69	$19.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.92 / $11.21	Professional		$5.77	$7.92	$11.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.79 / $13.74	Professional		$5.36	$6.79	$13.74