Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.11 / $912.01	Facility		$16.98	$33.11	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $85.11	Professional		$19.05	$25.70	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $27.54	Professional		$18.20	$21.38	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $56.23 / $109.65	Facility		$19.95	$56.23	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $33.11	Professional		$16.22	$19.95	$33.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $53.70	Professional		$20.42	$30.20	$53.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $32.36 / $199.53	Facility		$21.88	$32.36	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $48.98	Professional		$20.89	$29.51	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $27.54 / $53.70	Facility		$19.95	$27.54	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $56.23	Professional		$18.62	$25.12	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $33.11	Professional		$17.38	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $47.86	Professional		$20.42	$38.02	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $51.29	Facility		$19.95	$28.18	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $50.12	Professional		$20.89	$30.20	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $38.90	Professional		$17.78	$23.99	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $25.12	Professional		$20.42	$20.89	$25.12