Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $52.48 / $100.00	Facility		$11.48	$52.48	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $21.88	Professional		$8.91	$12.02	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.33 / $12.88	Professional		$7.24	$9.33	$12.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $51.29 / $91.20	Facility		$20.42	$51.29	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.32 / $14.79	Professional		$5.01	$8.32	$14.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.39 / $91.20	Facility		$13.80	$22.39	$91.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $23.99	Professional		$10.47	$15.85	$23.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $15.14	Facility		$14.79	$14.79	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $81.28	Facility		$14.79	$33.11	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.12	Professional		$7.94	$10.96	$25.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Facility		$85.11	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $72.44	Facility		$11.48	$15.14	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $19.50	Professional		$8.91	$13.49	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.59 / $12.59	Professional		$11.22	$12.59	$12.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $95.50 / $104.71	Facility		$45.71	$95.50	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $43.65	Facility		$12.02	$15.14	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.96 / $25.12	Professional		$8.51	$10.96	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.12 / $15.14	Facility		$5.37	$9.12	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $12.88	Professional		$6.31	$8.91	$12.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $15.14	Professional		$5.89	$5.89	$15.14