Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $65.47 / $170.96	Facility		$26.67	$65.47	$170.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $24.56 / $47.73	Professional		$19.64	$24.56	$47.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $40.35	Professional		$17.55	$17.55	$40.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.64 / $211.75	Facility		$43.33	$112.64	$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 $35.09 / $40.35 / $64.92	Facility		$35.09	$40.35	$64.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $49.13 / $68.66	Professional		$31.58	$49.13	$68.66
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 $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 $26.67 / $43.86 / $93.50	Facility		$26.67	$43.86	$93.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $52.64	Professional		$33.34	$35.09	$52.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $153.91 / $3,418.60	Facility		$109.28	$153.91	$3,418.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $38.60 / $63.86	Professional		$22.81	$38.60	$63.86
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 Facility Modifier Low / Median / High Price $26.48 / $35.09 / $43.86	Facility		$26.48	$35.09	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.42	Professional		$14.74	$20.60	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09