Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $128.38 / $275.66	Facility		$35.70	$128.38	$275.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $41.97 / $54.03	Professional		$28.19	$41.97	$54.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $28.19 / $32.63	Professional		$22.55	$28.19	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $153.62 / $272.04	Facility		$58.01	$153.62	$272.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $24.90 / $41.81	Professional		$5.00	$24.90	$41.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $72.81 / $278.06	Facility		$46.98	$72.81	$278.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $46.98 / $70.47	Professional		$35.24	$46.98	$70.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $49.33 / $49.33	Facility		$46.98	$49.33	$49.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $102.67 / $237.97	Facility		$32.83	$102.67	$237.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $34.29 / $79.33	Professional		$24.90	$34.29	$79.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $224.07 / $224.07	Facility		$136.30	$224.07	$224.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $46.98 / $69.94	Facility		$37.58	$46.98	$69.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $46.98 / $61.23	Professional		$42.28	$46.98	$61.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.41 / $327.61 / $867.87	Facility		$239.41	$327.61	$867.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $46.98 / $111.87	Facility		$37.58	$46.98	$111.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $36.17 / $67.88	Professional		$24.90	$36.17	$67.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $26.92 / $38.36	Professional		$19.73	$26.92	$38.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $23.20 / $46.98	Professional		$18.32	$23.20	$46.98