Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $65.47 / $191.24	Facility		$25.97	$65.47	$191.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.30 / $42.11	Professional		$21.05	$26.30	$42.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $21.93 / $24.37	Professional		$17.55	$21.93	$24.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $111.94 / $210.19	Facility		$41.41	$111.94	$210.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $54.39 / $197.01	Facility		$32.43	$54.39	$197.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $33.65 / $49.13	Professional		$24.56	$33.65	$49.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $312.64 / $312.64	Facility		$35.09	$312.64	$312.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $77.09 / $157.02	Facility		$24.52	$77.09	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $25.27 / $59.08	Professional		$15.96	$25.27	$59.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $166.68 / $166.68	Facility		$80.00	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $194.24 / $263.18	Professional		$194.24	$194.24	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $35.09 / $56.38	Facility		$25.97	$35.09	$56.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $35.09 / $45.73	Professional		$31.58	$35.09	$45.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $67.81 / $182.51	Facility		$52.42	$67.81	$182.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.46 / $78.95	Professional		$22.81	$42.46	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $35.09 / $81.16	Facility		$25.97	$35.09	$81.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $32.42 / $54.16	Professional		$16.94	$32.42	$54.16
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.07 / $26.00	Professional		$14.74	$20.07	$26.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $17.32 / $35.09	Professional		$13.69	$17.32	$35.09