Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $107.14 / $165.51	Facility		$33.68	$107.14	$165.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.15 / $44.66	Professional		$21.05	$30.15	$44.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $111.94 / $198.96	Facility		$43.33	$111.94	$198.96
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 / $197.01	Facility		$32.43	$52.64	$197.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $42.11 / $60.71	Professional		$28.07	$42.11	$60.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $81.59 / $177.18	Facility		$35.20	$81.59	$177.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $25.76 / $73.09	Professional		$19.88	$25.76	$73.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $166.68 / $166.68	Facility		$61.26	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $36.84 / $125.58	Facility		$24.56	$36.84	$125.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.79 / $99.00	Professional		$33.34	$35.79	$99.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $78.72 / $205.34	Facility		$57.53	$78.72	$205.34
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 $25.97 / $42.55 / $177.18	Facility		$25.97	$42.55	$177.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $33.47 / $68.23	Professional		$20.26	$33.47	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $28.66	Professional		$14.74	$20.05	$28.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09