Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $135.56 / $362.52	Facility		$26.67	$135.56	$362.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.26 / $42.11	Professional		$19.64	$25.26	$42.11
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 / $112.99 / $210.19	Facility		$43.33	$112.99	$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 $35.09 / $54.39 / $210.16	Facility		$35.09	$54.39	$210.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $31.58 / $49.13	Professional		$24.56	$31.58	$49.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $80.00	Facility		$35.09	$35.09	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $77.67 / $163.93	Facility		$40.20	$77.67	$163.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $78.59	Professional		$19.88	$26.01	$78.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $167.46 / $167.46	Facility		$80.00	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $288.64 / $288.64	Professional		$263.18	$288.64	$288.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $41.22 / $80.22	Facility		$24.56	$41.22	$80.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $48.69	Professional		$35.09	$35.09	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $43.86 / $78.95	Professional		$22.81	$43.86	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $53.78 / $146.76	Facility		$27.86	$53.78	$146.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.68 / $68.23	Professional		$20.26	$34.68	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.11 / $27.70	Professional		$14.74	$20.11	$27.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09