Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $130.33 / $255.85	Facility		$32.00	$130.33	$255.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.32 / $48.18	Professional		$21.05	$26.32	$48.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.44 / $211.75	Facility		$43.33	$112.44	$211.75
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 / $52.64 / $210.16	Facility		$32.43	$52.64	$210.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $47.72 / $85.44	Professional		$28.07	$47.72	$85.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.65 / $29.65 / $35.09	Facility		$29.65	$29.65	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $167.46 / $167.46	Facility		$88.87	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $289.44	Professional		$289.44	$289.44	$289.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $52.64 / $99.00	Facility		$28.10	$52.64	$99.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $48.69	Professional		$33.34	$35.09	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $78.95	Professional		$22.81	$42.11	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.11 / $29.42	Professional		$14.74	$20.11	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09